Extreme Anemia (Hemoglobin 1.8 g/dL) Secondary to Abnormal Uterine Bleeding

Panse, Ketaki; Regn, R.; May, Jonathan

doi:10.1155/2017/5179265

Cited by 5 publications

(5 citation statements)

References 10 publications

(9 reference statements)

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“…Uterine fibroids (submucosal, intramural, and subserosal fibroids) have different effects; submucosal and intramural types are presumed to cause heavy menstrual bleeding leading to anemia [ 13 ]. Factors like estrogen and progesterone, black ethnicity, and obesity are well-known risk factors for fibroids.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Ferritin and Vitamin D Levels in Premenopausal Fibroid Uterus Cases With Anemia

Kumari

Swetha

et al. 2021

Cureus

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The present study aimed to evaluate the association between serum ferritin and vitamin D levels in fibroid uterus cases presenting with anemia. Methods Sixty premenopausal women with uterine fibroids (30 associated with anemia and 30 without anemia) were enrolled as cases and control. All participants were evaluated on the basis of a questionnaire, which included queries related to obstetric, medical, and sociodemographic history. Peripheral blood smear, complete blood count (CBC), hemoglobin (Hb), and serum ferritin concentration were measured by a fully automated analyzer, and 25(OH) vitamin D level was measured by enzyme-linked immunosorbent assay (ELISA). Results There was a significant difference in ferritin levels between cases and control (p<0.001). The exposure to sunlight was moderate (one-hour exposure) in all subjects, eliminating the confounding effect of sunlight exposure influencing vitamin D levels. The median vitamin D level in cases was 5.0 ng/ml [interquartile range (IQR): 4.8], and that in control was 18.4 ng/ml (IQR: 7.9; p<0.001). A strong positive correlation of (r)=0.616 (p<0.001) was found between serum ferritin and vitamin D levels. Conclusion Fibroid uterus cases with anemia are more prone to vitamin D deficiency as compared to cases without anemia. Vitamin D estimation in fibroid uterus cases presenting with anemia would be useful for better patient management.

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Section: Discussionmentioning

confidence: 99%

The Association Between Ferritin and Vitamin D Levels in Premenopausal Fibroid Uterus Cases With Anemia

Kumari

Swetha

et al. 2021

Cureus

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“…Our patient lives in well nutritional community with advanced and fully supported health services with no chronic diseases, unlike another case that reported severe anemia (hemoglobin 3.7 g/dl)in infant patients due to malnutrition and severe COVID (4), severe anemia at a level <4 g/dL is uncommonly seen in the health centers setting in the emergency and laboratory setting ( 5), but it has been reported in other case reports (6-7), both of these cases were for women patient with choric diseases or surgery and malignancy. Another case has been reported of an ambulatory patient with a hemoglobin value less than 4.0 g/dl (8), and this was due to chronic urinary bleeding. The most common source or cause that leads to such severe anemia is iron deficiency, (9).…”

Section: Discussionmentioning

confidence: 99%

Severe anemia (hemoglobin 4 gdL) in man without chronic disease

Al-harbi¹,

Khalid²

2022

JCLST

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We present a case of a male patient 46-year-old presented to the emergency department with a complaint of vomiting, cough, shivering and abdominal pain and a heart rate of approximately 97 beats per minute, and orthostatic blood pressure of 130/70 mm Hg upon standing. We report the lowest hemoglobin 4.0 g/dL was discovered by our laboratory. Emergency department management of anemic and severe fatigue patients is common (1, 2). We report the lowest hemoglobin of which we are aware, at 4 g/dL, in a patient without chronic disease.

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“…Our patient lives in well nutritional community with advanced and fully supported health services with no chronic diseases, unlike another case that reported severe anemia (hemoglobin 3.7 g/dl)in infant patients due to malnutrition and severe COVID (4), severe anemia at a level <4 g/dL is uncommonly seen in the health centers setting in the emergency and laboratory setting ( 5), but it has been reported in other case reports (6-7), both of these cases were for women patients with choric diseases or surgery and malignancy. Another case has been reported of an ambulatory patient with a hemoglobin value less than 4.0 g/dl (8), and this was due to chronic urinary bleeding. The most common source or cause that leads to such severe anemia is iron deficiency, (9).…”

Section: Discussionmentioning

confidence: 99%