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Occult Celiac Disease as a Cause of Iron Deficiency Anemia.

Zachary M. Kilpatrick, M.D.; Julian Katz, M.D.; and Martin E. Gordon, M.D., F.A.C.P.
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New Haven, Connecticut


Ann Intern Med. 1969;70(5):1085. doi:10.7326/0003-4819-70-5-1085_1
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When celiac disease is mild, intestinal absorptive function may be impaired without gastrointestinal symptoms and without abnormalities of the usual tests of absorption. Thus, celiac disease may be the cause of iron deficiency in patients who do not have clinically apparent malabsorption. We have studied two women with chronic iron deficiency anemia who did not respond to oral iron therapy and who had no abnormal blood loss. They had no gastrointestinal symptoms, and in one patient serum carotene levels and D-xylose excretion were normal. Although the clinical and laboratory evidence for celiac disease was scant, the diagnosis was made by

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