Abstract
Red cell indices were determined and bone marrow was examined in a selected group of 21 patients with Crohn's disease who had a routine peripheral blood picture suggestive of iron deficiency. Only nine (43%) of these patients had no stainable iron stores in the marrow fragments and could be considered as being definitely iron deficient. All indirect measurements in the diagnosis of iron deficiency, except the total iron-binding capacity (TIBC), appeared likely to result in over-diagnosis. Iron-deficient erythropoiesis, without true deficiency, may be due to the inflammatory disease process and this study indicates that the examination of bone marrow aspirate is necessary for the certain diagnosis of iron deficiency in Crohn's disease.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- BAINTON D. F., FINCH C. A. THE DIAGNOSIS OF IRON DEFICIENCY ANEMIA. Am J Med. 1964 Jul;37:62–70. doi: 10.1016/0002-9343(64)90212-8. [DOI] [PubMed] [Google Scholar]
- BEUTLER E., ROBSON M. J., BUTTENWIESER E. A comparison of the plasma iron, iron-binding capacity, sternal marrow iron and other methods in the clinical evaluation of iron, stores. Ann Intern Med. 1958 Jan;48(1):60–82. doi: 10.7326/0003-4819-48-1-60. [DOI] [PubMed] [Google Scholar]
- BEUTLER E. The red cell indices in the diagnosis of iron-deficiency anemia. Ann Intern Med. 1959 Feb;50(2):313–322. doi: 10.7326/0003-4819-50-2-313. [DOI] [PubMed] [Google Scholar]
- Brozovich B., Copestake J. Semi-automated micromethod for estimating the unsaturated iron-binding capacity of serum using radioactive iron. J Clin Pathol. 1969 Sep;22(5):605–608. doi: 10.1136/jcp.22.5.605. [DOI] [PMC free article] [PubMed] [Google Scholar]
- CONRAD M. E., CROSBY W. H. The natural history of iron deficiency induced by phlebotomy. Blood. 1962 Aug;20:173–185. [PubMed] [Google Scholar]
- Cartwright G. E., Lee G. R. The anaemia of chronic disorders. Br J Haematol. 1971 Aug;21(2):147–152. doi: 10.1111/j.1365-2141.1971.tb03424.x. [DOI] [PubMed] [Google Scholar]
- Cartwright G. E. The anemia of chronic disorders. Semin Hematol. 1966 Oct;3(4):351–375. [PubMed] [Google Scholar]
- Child J. A., Bowry W. M., Knowles J. P. Iron deficiency in patients with chronic obstructive airways disease. Scand J Haematol. 1973;10(1):44–53. doi: 10.1111/j.1600-0609.1973.tb00037.x. [DOI] [PubMed] [Google Scholar]
- Child J. A., King J., Newman T. H., Waterfield R. L. A diffraction method for measuring the average sizes and shapes of red blood-cells. Lancet. 1966 Oct 22;2(7469):891–892. doi: 10.1016/s0140-6736(66)91985-4. [DOI] [PubMed] [Google Scholar]
- Child J. A., King J., Newman T. H., Waterfield R. L. A diffraction method for measuring the average volumes and shapes of red blood cells. Br J Haematol. 1967 May;13(3):364–375. doi: 10.1111/j.1365-2141.1967.tb08751.x. [DOI] [PubMed] [Google Scholar]
- De Leeuw N. K., Lowenstein L., Hsieh Y. S. Iron deficiency and hydremia in normal pregnancy. Medicine (Baltimore) 1966 Jul;45(4):291–315. doi: 10.1097/00005792-196607000-00002. [DOI] [PubMed] [Google Scholar]
- Dyer N. H., Child J. A., Mollin D. L., Dawson A. M. Anaemia in Crohn's disease. Q J Med. 1972 Oct;41(164):419–436. [PubMed] [Google Scholar]
- ELLIS L. D., JENSEN W. N., WESTERMAN M. P. MARROW IRON. AN EVALUATION OF DEPLETED STORES IN A SERIES OF 1,332 NEEDLE BIOPSIES. Ann Intern Med. 1964 Jul;61:44–49. doi: 10.7326/0003-4819-61-1-44. [DOI] [PubMed] [Google Scholar]
- Eade M. N., Cooke W. T., Williams J. A. Clinical and hematologic features of Crohn's disease. Surg Gynecol Obstet. 1972 Apr;134(4):643–646. [PubMed] [Google Scholar]
- Hoffbrand A. V., Stewart J. S., Booth C. C., Mollin D. L. Folate deficiency in Crohn's disease: incidence, pathogenesis, and treatment. Br Med J. 1968 Apr 13;2(5597):71–75. doi: 10.1136/bmj.2.5597.71. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nixon R. K., Olson J. P. Diagnostic value of marrow hemosiderin patterns. Ann Intern Med. 1968 Dec;69(6):1249–1254. doi: 10.7326/0003-4819-69-6-1249. [DOI] [PubMed] [Google Scholar]
- STEVENS A. R., Jr, COLEMAN D. H., FINCH C. A. Iron metabolism; clinical evaluation of iron stores. Ann Intern Med. 1953 Feb;38(2):199–205. doi: 10.7326/0003-4819-38-2-199. [DOI] [PubMed] [Google Scholar]
- Scott D. E., Pritchard J. A. Iron deficiency in healthy young college women. JAMA. 1967 Mar 20;199(12):897–900. [PubMed] [Google Scholar]
- Verloop M. C. Iron depletion without anemia: a controversial subject. Blood. 1970 Nov;36(5):657–671. [PubMed] [Google Scholar]