Life-threatening iron deficiency anemia and profound lactic acidosis due to uterine fibroid bleeding
Department of Clinical Therapeutics, University of Athens School of Medicine, Makedonias 24, 104 33 Athens, Greece
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Fig. 1
Patient's electrocardiogram at admission, showing sinus rhythm and T-wave inversion in leads III and aVF.
Fig. 2
Hemoglobin values and lactate levels during the first 24 hours after the patient's admission.
A case of a patient with severe lactic acidosis as a result of profound iron-deficiency anemia (Hb: 1.3 g/dl) due to chronic uterine bleeding is presented. The pathophysiology of profound anemia and the reported cases of iron-deficiency anemia with very low hemoglobin values (≤ 2 g/dl) are reviewed and discussed.
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© 2009 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
