Reversal of Long-Standing Iron Deficiency Anaemia after Eradication of Helicobacter pylori Infection
Abstract
Helicobacter pylori has been proposed as a major determinant in multiple gastric disorders. We describe the case of a young adult with a long-standing medical history of sideropenic anaemia and of oral iron consumption dependence with a chronic superficial H. pylori-positive gastritis. All other causes of sideropenic anaemia were carefully excluded. Histology showed a peculiar pattern of non-active H. pylori-positive gastritis. The bacterium was a non-VacA-producing strain. The first attempt at eradication caused a reduction in bacterial load and led to a partial normalization of haematologic variables without improving the ferritin level. A successful second course of eradication therapy completely reversed the anaemia and restored the iron deposit, which persisted at the 29-month follow-up. H. pylori infection can be involved in unexplained cases of iron deficiency anaemia in adults, and its cure can normalize the haematologic picture.
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Eradication of H pylori infection can lead to correction of the anemia.
“Eradication of H pylori infection can lead to correction of the anemia.167”
From Forging a field: the golden age of iron biology. (2008) · cites this paper as [167]
H pylori infection, even in the absence of significant bleeding, can lead to profound iron deficiency anemia that is poorly responsive to oral iron therapy.
“Recently it was rediscovered that infection with H pylori, even in the absence of significant bleeding, can lead to profound iron deficiency anemia that is poorly responsive to oral iron therapy.”
From Forging a field: the golden age of iron biology. (2008) · cites this paper as [167]
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- Authors
- Marignani, M., Angeletti, S., Bordi, C., Malagnino, F., Mancino, C., Fave, G. D., & Annibale, B.
- Affiliations
- University of Parma (IT)
- Venue
- Scandinavian Journal of Gastroenterology
- Publisher
- Informa UK Limited
- Published
- 1997-01
- Volume
- 32
- Issue
- 6
- Pages
- 617-622
- ISSN
- 0036-5521 (ISSN-L)
- 1502-7708
- OpenAlex
- W1997114824
- Cited by
- 133
- References
- 27
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 2 · 2014: 6 · 2013: 5 · 2012: 4
- FWCI
- 7.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Helicobacter pylori-related gastroenterology studies
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal Bleeding Diagnosis and Treatment
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Keywords
- Helicobacter pylori, iron deficiency anemia, anemia of chronic disease, eradication therapy, oral iron supplementation, ferritin
- MeSH terms
- Adult, Anti-Ulcer Agents, Anti-Bacterial Agents, Bismuth, Drug Therapy, Combination, Gastritis, Humans, Male, Metronidazole, Omeprazole, Organometallic Compounds, Salicylates, Tetracycline, Helicobacter pylori, Helicobacter Infections, Clarithromycin, Anemia, Iron-Deficiency
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