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February 1, 2007BMJOpen Access

Newly diagnosed iron deficiency anaemia in a premenopausal woman

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Authors

TTTony ToddRoyal Devon and Exeter HospitalTCTim CaroeUniversity of Cambridge

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Overview

Clinical review highlights diagnostic indicators and etiologies of iron deficiency anaemia in premenopausal women, suggesting menorrhagia and coeliac disease as primary investigative targets.

Key Points

  • To review the clinical evaluation, symptom profile, and common underlying etiologies of newly diagnosed iron deficiency anaemia in premenopausal women presenting with fatigue.
  • Evaluation of a clinical case involving a 40-year-old premenopausal woman presenting with chronic fatigue and diagnostic laboratory assessments.
  • Clinical assessment of symptom thresholds and underlying causes, specifically evaluating menstrual blood loss and malabsorptive disorders.
  • Laboratory testing confirmed hypochromic, microcytic anaemia with a haemoglobin concentration of 100 g/l and a ferritin concentration of 5 µg/l.
  • Menorrhagia is identified as the leading cause of iron deficiency anaemia, which affects 5% to 10% of premenopausal women.
  • Exertional fatigue and mild dyspnoea present commonly, whereas severe symptoms such as angina or resting dyspnoea typically require haemoglobin concentrations below 70 g/l.

Cite This Study

Todd et al. (2007) studied this question.

synapsesocial.com/papers/6aaa6990b6ecf18e37831a41https://doi.org/10.1136/bmj.39003.602338.94
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