Combined Iron Deficiency Anemia and Occult Seronegative Gluten Intolerance

Authors: Rozin A*

DOI: 10.23880/mjccs-16000355

Volume 8, Issue 1

Abstract

A 66-year old man with new symptomatic iron deficiency anemia was investigated with gastroscopy, which revealed adenomatous large inflammatory erosive polyp, which was removed. Iron reach diet and iron replacement therapy was only partially helpful but serum iron indicators were still reduced. Abnormal iron absorption was proposed. Celiac transaminase tTG- IGA and anti-gliadin and anti-endomysial antibodies were negative. Due to suspicion of seronegative gluten intolerance gluten free diet was initiated. Hemoglobin and serum iron characteristics became normal two months later. We conclude: occult iron deficiency reasons should not be missed including seronegative gluten intolerance.

Keywords: Combined Iron Deficiency Anemia; Gastric Erosive Adenomatous Polyp; Occult Gluten Intolerance; Iron Therapy Resistance; Gluten Free Diet

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