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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.167”
From Forging a field: the golden age of iron biology. (2008) · cites this paper as [167]
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“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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Helicobacter pylori and Hematologic Diseases
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Metadata
- 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 › Gastroenterology › 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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