Rwandan man with a case of the blues

IF 2.4 Q3 GASTROENTEROLOGY & HEPATOLOGY Frontline Gastroenterology Pub Date : 2024-06-20 DOI:10.1136/flgastro-2024-102722
Benjamin Wipper, Hanna Blaney, Robert Giraneza, Prosper Ingabire, Vincent Dusabejambo, Udit Asija, Erik C von Rosenvinge
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Abstract

A Rwandan man in his 40s underwent an upper gastrointestinal endoscopy for evaluation of solid-food dysphagia. Of note, the patient also reported a long-standing history of anaemia, which was originally diagnosed in 2000. He had required four transfusions since and noted that he had previously been prescribed tot’hema syrup (a form of iron supplementation) but was no longer taking it. Laboratory tests around the time of endoscopy showed microcytic anaemia (haemoglobin 99.1 g/L, median corpuscular volume 61.84 fL) with an elevated reticulocyte count (91×109/L). Further labs showed low serum iron (28 mcg/dL) and ferritin (20.5 ng/mL). The patient denied ever experiencing melena or haematochezia. Endoscopic examination revealed a partially obstructing Schatzki’s ring as the explanation for his dysphagia and this was treated with balloon dilation. The endoscopy also revealed numerous blue-violet vascular-appearing …
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患忧郁症的卢旺达人
一名 40 多岁的卢旺达男子因固体食物吞咽困难接受了上消化道内窥镜检查。值得注意的是,患者还报告了长期的贫血病史,最初于 2000 年确诊。从那时起,他需要进行四次输血,并指出他以前曾服用过tot'hema糖浆(一种铁质补充剂),但现在已不再服用。内窥镜检查前后的实验室检查显示他患有小细胞性贫血(血红蛋白 99.1 g/L,中位血球容积 61.84 fL),网织红细胞计数升高(91×109/L)。进一步化验结果显示血清铁(28 mcg/dL)和铁蛋白(20.5 ng/mL)偏低。患者否认曾出现过血块或血便。内窥镜检查显示,沙茨基环部分阻塞是导致其吞咽困难的原因,因此对其进行了球囊扩张治疗。内镜检查还发现了许多蓝紫色血管外观的...
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来源期刊
Frontline Gastroenterology
Frontline Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.70
自引率
11.50%
发文量
93
期刊介绍: Frontline Gastroenterology publishes articles that accelerate adoption of innovative and best practice in the fields of gastroenterology and hepatology. Frontline Gastroenterology is especially interested in articles on multidisciplinary research and care, focusing on both retrospective assessments of novel models of care as well as putative future directions of best practice. Specifically Frontline Gastroenterology publishes articles in the domains of clinical quality, patient experience, service provision and medical education.
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