Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0162316 (iron deficiency anemia)
 3,806 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Iron deficiency anaemia was produced by repeated phlebotomies in three healthy males. The storage iron was estimated as 666, 522 and 750 mg. After treatment with 1 000 mg of Ferastral the blood haemoglobin concentration rose at an average daily rate of 0.1 g/100 ml/day. Ninety per cent of the injected iron could be accounted for, and the utilization was estimated to about 70-80%. Side effects comprised pain and discolouration at the injection site.
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PMID:Ferastral treatment of three healthy phlebotomized males. 34 Dec 79

Piroxicam (CP 16171), a new nonsteroidal anti-inflammatory agent, decreased pain, stiffness, and inflammation and increased the patient's ability to perform tasks in a double-blind study of patients with active, definite rheumatoid arthritis, poorly controlled despite standard therapy. Clinically and statistically significant improvement occurred in grip strength, walking time, and morning stiffness, and in patient and physician evaluation. Seventy-five per cent of the piroxicam-treated patients increased their daily activities. Three patients treated with the tablet form of piroxicam developed gastrointestinal ulcerations. Another patient developed iron deficiency anemia.
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PMID:Piroxicam (CP 16171) in rheumatoid arthritis: a controlled clinical trial with novel assessment techniques. 34 91

Clinical presentation, risk factors, investigations, pathology and treatment were examined in a retrospective review of 230 patients with colorectal cancer. Many patients presented with symptoms not usually associated with colorectal cancer, such as pain in the upper part of the abdomen, and rectal bleeding separate from the stool. Iron deficiency anaemia was an uncommon presentation. Over all, one-third of patients had at least one risk factor for colorectal cancer. Risk factors such as adenomatous polyps and family history of colorectal cancer were more common than inflammatory bowel disease and polyposis coli. Although a delay in diagnosis was recorded in one-quarter of patients, the finding of a negative correlation between duration of symptoms and extent of spread suggests that the length of the symptomatic illness is not an important factor in prognosis. Contrary to surgical and medical teaching, only 43% of cancers were in the rectum and rectosigmoid area, and, hence, within reach of the standard sigmoidoscope. Surgical resection was performed in 76% of patients. Forty-three per cent of patients who underwent surgery developed at least one postoperative complication resulting in a longer stay in hospital.
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PMID:Colorectal cancer. A study of 230 patients. 49 99

A prospective study of 41 patients (24 male and 17 female) aged over 40 years with iron deficiency anemia and hookworm infection was performed by endoscopy and barium enema to determine the incidence of GI lesions. Alcohol ingestion, smoking, abdominal pain, anorexia, loss in weight, bowel habit change, analgesic consumption and stool occult blood test were analyzed for their positive predictive value of GI lesions. The mean age of the patients was 62.8 years (SD = 10.1). The mean hemoglobin was 5.99 gm.% (SD = 1.9). Twenty patients (48.8%) had GI lesions. The lesions included 10 erosive gastritis, 1 erosive duodenitis, 5 gastric ulcers, 2 duodenal ulcers, 1 carcinoma of stomach and 1 carcinoma of colon. Gastric ulcer, duodenal ulcer and carcinoma were regarded as significant lesions. Abdominal pain was found in 16 of the 20 patients with GI lesions and 8 of the 21 without GI lesion (Chi square with Yate's correction, x2 = 5.78 p = 0.02). Four of the 17 patients without pain had GI lesions but only one of these 4 (5.8%) had gastric ulcer. Abdominal pain had an 80% sensitivity and 62% specificity for the positive prediction of GI lesions based on the above findings. GI investigation is recommended for all patients with abdominal pain. In those without pain, treatment of hookworm and iron therapy with follow-up may be justified.
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PMID:Gastrointestinal lesions in patients over 40 years of age with iron deficiency anemia and hookworm infection. 209 22

Patients who had barium enemas during a 3-month period were reviewed retrospectively. Of 123 consecutive patients over 65 years, 38 patients had one or more of the following clinical features: weight loss, mass, obstruction or rectal bleeding. Fourteen carcinomas were found in this group. Eighty-five patients had none of the above features, but were referred because of anaemia, change in bowel habit or abdominal pain. In this group only one colorectal carcinoma was found. The following criteria are suggested as a guide to significant bowel pathology in the elderly: Major: weight loss; mass; obstruction; blood loss overt/occult; iron deficiency anaemia. Minor: pain; constipation; diarrhoea; change of bowel habit.
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PMID:Selection of elderly patients for barium enema examination with respect to significant bowel pathology especially carcinoma of the colon and rectum: the results of a retrospective study. 336 39

A 45-year-old woman reported the development of thigh pain followed within a year by proximal muscle weakness. Clinical findings included short stature, prominent kyphoscoliosis, proximal weakness, and brisk reflexes. Recognition of an increased level of serum alkaline phosphatase and hypophosphatemia led to the diagnosis of osteomalacia. Identification of iron deficiency anemia and hypocholesterolemia implicated previously unrecognized gluten-sensitive enteropathy with associated vitamin D malabsorption as the cause of the osteomalacia. Adherence to a gluten-free diet and treatment with vitamin D2 resulted in weight gain, resolution of pain, and improvement in strength within 3 months. Painful proximal weakness and hyperreflexia may be the initial and primary manifestations of osteomalacia, a readily treatable cause of muscle and bone disease.
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PMID:Osteomalacic myopathy. 787 Jan 21

A 70-year-old woman was admitted to the hospital because of a 5-year history of weight loss, weakness, anemia, osteomalacia, pathologic fractures and pain responding only to narcotic analgesics. A diagnosis of celiac disease was made on the basis of pathologic xylose absorption test results, studies confirming the presence of antigliadin and antiendomysial antibodies, and jejunal biopsy evidencing shortened or absent villi. The detection of unusual cases of celiac disease without diarrhea is on the increase. The only observable symptoms of this pathology may be osteomalacia or persistent iron deficiency anemia despite oral iron therapy.
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PMID:[Diagnosis of celiac disease in an elderly subject: description of a clinical case]. 907 71

Advancing beyond the copper IUDs and IUDs of varied shapes introduced in the 1970s and 1980s, 3 3rd-generation IUDs are described. Not yet on the market, the Copper Safe 300, the FlexiGard 330 or Copper-Fix 330, and the levonorgestrel-releasing IUDs have been modified to reduce the incidence of expulsion or bleeding and pain complications found as side effects in other IUDS. The Cu-SAFE IUD is flexible, lightweight, and of smaller design to fit more comfortably within the uterine cavity. This IUD requires no pre-insertion loading into an inserted tube with plunger, and work especially well for women who have a relatively narrow endocervical canal. The FlexiGard 330 is frameless, and consists of 6 copper sleeves on a single filament of polypropylene thread. Requiring initial training, the insertion procedure is reported to be easy once mastered. The levonorgestrel-releasing IUD (LNG-IUD) combines the positive aspects of oral contraceptives, IUDs, and steroid-releasing implants. The LNG-IUD release 20 mcg of levonorgestrel daily, and has an estimated effective lifespan of up to 7 years once inserted. Levonorgestrel released into the uterus reduces menstrual blood loss, thereby potentially lessening the iron deficiency anemia often accompanying copper-IUD use. Levonorgestrel has also been associated with significant reduction in menstrual pain. Accordingly, this latter version of IUD may be of particular interest for women suffering menorrhagia, dysmenorrhea, and those experiencing increased menstrual blood loss when using copper IUDs. Early studies of the 1st 2 IUDs have shown favorable results, while the LNG-IUD has been registered in Finland.
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PMID:New developments in intrauterine devices. 1228 81

The goals of National Immunization Day (NID), which is held twice a year in the Philippines, include polio vaccination of all children less than 5 years of age, measles vaccination of all children aged 9 to 24 months, tetanus immunization of women aged 15 to 44 years, and vitamin A supplementation for all children under 5 years of age. This is in response to a World Declaration of the Survival, Protection, and Development of Children and a Plan of Action for the 1990s that were issued by the World Summit for Children (New York; September, 1990). The Plan has 7 major and 26 supporting goals. 3 of the goals, which are to be achieved by the end of the century, relate to micronutrient malnutrition and are as follows: 1) elimination of vitamin A deficiency disorders, 2) elimination of iodine deficiency disorders, and 3) reduction of iron deficiency anemia by 1/3. Another conference, "Ending Hidden Hunger", (Montreal, Canada; October, 1991) focused on the means and resources necessary to overcome micronutrient malnutrition. Health Secretary Juan Flavier utilized the mass media for the 1993 campaign. The messages emphasized in the campaign included 1) polio kills or cripples children for life; 2) vaccination with oral polio vaccine (OPV) is easily performed and prevents the disease without pain or injection; 3) NIDs will be held on every 3rd Wednesday of April and May from 1993 to 1995; 4) all children 0-59 months and all women 15 to 44 years are required to attend, even if previously immunized; 5) OPV given to a fully immunized child will boost immunity; 6) the Philippines will be free from polio by 1995 if all children ages 0-59 months are vaccinated on the NIDs; and 7) the participation of all filipinos is necessary to eradicate polio. Information, education, and communication (IEC) materials were distributed 2 weeks before the NID. Posters were placed in strategic government facilities, leaflets were distributed to mothers, and streamers were installed on the exterior of facilities. Immunization posts were established at all government health facilities (hospitals, lying-in centers, and barangay health stations), as well as at temporary sites at market places, shopping areas, schools, sports areas, bus and train stations, airports, and light rail transit stations. There were 2 types of posts; OPV, and EPI for measles vaccine and tetanus toxoid. The latter were staffed by trained health personnel. OPV and vitamin A were administered by nonhealth personnel, who were also part of mobile vaccination teams. Government agencies, nongovernmental organizations, international organizations, and the communities worked together. The Nutrition Center of the Philippines (NCP) staffed immunization posts in areas with NCP projects. Earlier, they had prepared lists of children, conducted orientation meetings, provided information on vitamin A, and arranged for site logistics. They provided vitamin A capsules and OPV to 1392 children.
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PMID:NID: ceasefire for the future. 1228 19

Progestins in oral contraceptives (OCs) produce potential complications, as well as noncontraceptive benefits, according to Robert A. Hatcher, MD, MPH, professor of gynecology and obstetrics, Emory University Medical School. Hatcher told CTU that lowering the progestin content in an OC may decrease complications, but could also decrease the benefits experienced by women. "The extent to which that will happen remains to be seen," he said. Hatcher cited the following potential complications of progestins in OC: hypertension; decreased levels of high density lipoproteins; acne; oily skin; headaches between pill cycles; dilated leg veins; pelvic congestion syndrome; thrombosis of superficial leg veins; gallstones; Monilia vaginitis; cholestatic jaundice; and depression, fatigue, and decreased libido. Progestins, according to Hatcher, also produce these noncontraceptive benefits: protection against PID; decreased dysmenorrhea; decreased menstrual blood loss, decreased iron deficiency anemia; protection against endometrial cancer; protection against fibrocystic breast disease, and fibroadenomas of the breast; decreased bleeding from fibroids; decreased growth of fibroids. When ovulation is suppressed, Hatcher emphasized, additional benefits that may occur include the following: decreased risk of functional ovarian cysts; elimination of mittleschmerz pain; decreased rick of ovarian cancer; protection against endometriosis.
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PMID:Potential risks, benefits of progestins in birth control pills outlined. 1231 83


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