MERCEDES BIOSCA, M.D.; FERNANDO GARCIA-BRAGADO, M.D.; MARIANO DE LA FIGUERA, M.D.; JOAQUIN MADRENAS, M.D.; ANTONIO SALAS, M.D.
To the editors: In their description of the newly identified syndrome of gastric atrophy and multiple carcinoid tumors, Carney and associates (1) emphasized its association with pernicious anemia. We recently have seen a patient with the syndrome who presented with iron-deficiency anemia.
A 49-year-old woman was hospitalized with weakness, fatigue, and pallor. An hysterectomy had been done at age 40 for a uterine myoma, and she had had adult-onset diabetes mellitus from age 44. At admission a severe hypochromic microcytic anemia was detected; her hemoglobin level was 5 g/dL; serum iron, 20 µg/dL (normal, 52 to 155); and serum ferritin,
BIOSCA M, GARCIA-BRAGADO F, DE LA FIGUERA M, MADRENAS J, SALAS A. Carcinoid Tumor, Atrophic Gastritis, and Iron Deficiency Anemia. Ann Intern Med. ;102:416–417. doi: 10.7326/0003-4819-102-3-416_2
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Published: Ann Intern Med. 1985;102(3):416-417.
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