Bruno Annibale, MD; Massimo Marignani, MD; Bruno Monarca, MD; Giorgio Antonelli, MD; Adriana Marcheggiano, MD; Gina Martino, MD; Franco Mandelli, MD; Renzo Caprilli, MD; Gianfranco Delle Fave, MD
Iron deficiency anemia is the most common form of anemia worldwide. Recent studies have suggested an association between Helicobacter pylori infection and iron deficiency.
To investigate the effects of eradicating H. pylori with combination antibiotic therapy on iron deficiency anemia in patients with H. pylori-associated gastritis.
30 patients with a long history of iron deficiency anemia in whom H. pylori-associated gastritis was the only pathologic gastrointestinal finding detected.
Eradication therapy with two antibiotics and discontinuation of iron replacement therapy.
Complete blood count, ferritin levels, and gastroscopy with biopsy to evaluate H. pylori status.
At 6 months, 75% of patients had recovered from anemia (PÂ <Â 0.001), ferritin values increased from 5.7 Â± 0.7 Âµg/L to 24.5 Â± 5.2 Âµg/L (95% CI, 8.85 to 29.97). After 12 months, 91.7% of patients had recovered from anemia.
Cure of H. pylori infection is associated with reversal of iron dependence and recovery from iron deficiency anemia.
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Annibale B, Marignani M, Monarca B, Antonelli G, Marcheggiano A, Martino G, et al. Reversal of Iron Deficiency Anemia after Helicobacter pylori Eradication in Patients with Asymptomatic Gastritis. Ann Intern Med. 1999;131:668-672. doi: 10.7326/0003-4819-131-9-199911020-00006
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Published: Ann Intern Med. 1999;131(9):668-672.
Gastroenterology/Hepatology, H. Pylori, Hematology/Oncology, Infectious Disease, Peptic Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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