Acute ischemic stroke as initial manifestation of undiagnosed iron deficiency anemia: case-report and literature review.

Autor:	Awad D; Internal Medicine Residency, Creighton University, Omaha, NE, USA., Kousa O; Internal Medicine Residency, Creighton University, Omaha, NE, USA., Essa A; Internal Medicine Residency, Creighton University, Omaha, NE, USA., Kuniyoshi J; Medical Student, Creighton University, Omaha, NE, USA., Kousa H; Medical Student, University of Sharjah, Sharjah, United Arab Emirates., Qasim A; Internal Medicine Residency, Creighton University, Omaha, NE, USA., Andukuri V; Internal Medicine, Creighton University, Omaha, NE, USA., Kassim T; Internal Medicine, Creighton University, Omaha, NE, USA.
Jazyk:	angličtina
Zdroj:	AME case reports [AME Case Rep] 2020 Oct 30; Vol. 4, pp. 23. Date of Electronic Publication: 2020 Oct 30 (Print Publication: 2020).
DOI:	10.21037/acr-20-72
Abstrakt:	Cerebrovascular disease is the second leading cause of death in the United States in adults aged 65 years and older and is most commonly caused by atherosclerosis. More so, cryptogenic strokes account for one-third of all ischemic strokes. At the same time, iron deficiency anemia is prevalent worldwide and mostly affects females of childbearing age. Here we report a case of a 42-year-old female who presented with symptoms of acute ischemic stroke and was found to have severe iron deficiency anemia. After prompt investigation of other secondary causes, it was determined that her stroke was likely secondary to her iron deficiency anemia. Upon review of the literature, a few case reports showed an association between iron deficiency anemia and strokes in the adult population, but little evidence exists supporting a direct relationship between the two entities. In this case, we aim to evaluate the complex relationship between iron deficiency anemia and stroke and to define a new potential cause of ischemic stroke, which would have been considered earlier as cryptogenic. However, further studies in the future are warranted to validate our observation. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/acr-20-72). The authors have no conflicts of interest to declare. (2020 AME Case Reports. All rights reserved.)
Databáze:	MEDLINE
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