William M. Dunlap, M.D.; G. Watson James III, M.D., F.A.C.P.; David M. Hume, M.D.
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A patient with anemia secondary to copper deficiency is described. She had a superior mesenteric artery thrombosis with necrosis of the ascending colon and small intestine, requiring resection of these areas and duodenocolic anastomosis in January 1971, 18 months before her anemia became apparent. Because of inability to tolerate oral feedings, she had to be maintained on intravenous hyperalimentation indefinitely with vitamin supplements. When evaluated in June 1972, with hemoglobin of 9.4 g/100 ml, she had negative physical findings. Her leukocyte count was 3000/ mm3 (70% lymphocytes); reticulocyte count, 1%, and platelets, 300 000/mm3. Erythrocyte morphology showed spherocytes, macrocytes, and
Dunlap WM, Watson James G, Hume DM. Anemia Due to Copper Deficiency.. Ann Intern Med. ;78:825. doi: 10.7326/0003-4819-78-5-825_1
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Published: Ann Intern Med. 1973;78(5):825.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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