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779 Possible Causes for Hypothyroidism, Microcytic Anemia

  • Gastrointestinal Hemorrhage

    A 92-year-old man with a medical history of chronic obstructive pulmonary disease, hypothyroidism, and atrial flutter presented to the emergency department with complaints[ncbi.nlm.nih.gov] anemia, chronic blood loss Protect airway and give high-flow oxygenInsert 2 large-bore (14-16G) IV cannulate take blood for FBC, U&E, LFT, clotting, cross-match 4-6 units[slideshare.net] , bleeding gums, lymphadenopathy.Bloody / black stools on per rectal examination. coagulation profile – primary or secondary clotting defectsRBC morphology – hypochomic, microcytic[slideshare.net]

  • Autoimmune Gastritis

    Pernicious anemia was present in 25% of patients, iron deficiency anemia was found in 29.7% of patients, hypothyroidism in 23% of patients, type 1 diabetes in 7.9% of patients[ncbi.nlm.nih.gov] […] was found in all the patients with microcytic anemia, but also in 50% of the normocytic and 10% of the macrocytic patients.[wjgnet.com] They include: Addison disease Graves disease Hypoparathyroidism Hypothyroidism Myasthenia gravis Loss of normal function of ovaries before 40 years of age (primary ovarian[medlineplus.gov]

  • Thalassemia

    After exclusion of familial triglyceridemia and secondary causes (hypothyroidism, nephrotic syndrome, drugs etc.), a diagnosis of hypertriglyceridemia thalassemia syndrome[ncbi.nlm.nih.gov] On the basis of limited descriptions in the literature, the disease is reported as a mild microcytic anemia with an uncomplicated course.[ncbi.nlm.nih.gov] These include bone marrow expansion, toxicity from iron overload and iron chelation, endocrine dysfunctions (hypogonadism, hypohyperparathyroidism, hypothyroidism, growth[ncbi.nlm.nih.gov]

  • Iron Deficiency Anemia

    Iron deficiency can often times be confused with low thyroid or hypothyroidism. Iron loss can contribute to a multitude of health problems – not just fatigue.[glutenfreesociety.org] Iron-refractory iron deficiency anemia (IRIDA) is a rare autosomal recessive disease characterized by congenital hypochromic microcytic anemia, low transferrin saturation,[ncbi.nlm.nih.gov] Conditions causing this type of anemia include the following: Advanced kidney disease Hypothyroidism Other chronic diseases, such as cancer , infection, lupus , diabetes ,[webmd.com]

  • Erythropoietic Protoporphyria

    Although the patient was slightly hypothyroidic, his liver enzymes returned to normal, his erythrocytic protoporphyrin concentration dropped fivefold, and his skin symptoms[ncbi.nlm.nih.gov] anemia, thrombocytopenia, and mild hepatic dysfunction.[ncbi.nlm.nih.gov] This patient presented cutaneous photosensitivity similar to the heterozygous cases, but a higher protoporphyrin accumulation in erythrocytes, microcytic anemia, and early[ncbi.nlm.nih.gov]

  • Celiac Disease

    The presence of primary autoimmune hypothyroidism makes this case specific, since the inability for optimal substitution therapy with a high daily dose of levothyroxine provoked[ncbi.nlm.nih.gov] , hypochromic anemia and patients characteristically have low serum iron levels, elevated total iron-binding capacity, and low ferritin levels. 24 Measurements of soluble[bloodjournal.org] Hypothyroidism predominated in women.[ncbi.nlm.nih.gov]

  • Upper Gastrointestinal Hemorrhage

    Expect normocytic erythrocytes in acute upper GI bleeding; microcytic erythrocytes are suggestive of iron-deficiency anemia with chronic blood loss.[journals.lww.com]

  • Postpartum Thyroiditis

    In women with hypothyroidism, levothyroxine (LT) requirements after delivery are assumed to return to prepregnancy values.[ncbi.nlm.nih.gov] anemia, preeclampsia, placental abruption, postpartum hemorrhage, cardiac dysfunction, and miscarriage.[emedicine.medscape.com] Eighty-two percent of the 169 women with PPT had a hypothyroid phase during the first postpartum year.[ncbi.nlm.nih.gov]

  • Hypopituitarism

    Antithyroid antibodies, in the normal range three months postpartum, became significantly elevated when the hypothyroidism appeared.[ncbi.nlm.nih.gov] anemia.[ncbi.nlm.nih.gov] Typically, newborns with congenital hypothyroidism are asymptomatic at birth, having been exposed to euthyroid mothers.[ncbi.nlm.nih.gov]

  • Chronic Hemorrhage

    To report a rare case of myeloid sarcoma infiltration of an aortic stent-graft causing chronic hemorrhage and mimicking stent-graft infection. A 90-year-old man presented 8 years after endovascular aneurysm repair with general malaise, nausea, abdominal pain, and hyperbilirubinemia. His inflammatory blood markers[…][ncbi.nlm.nih.gov]

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