Bloodletting-induced cardiomyopathy: reversible cardiac hypertrophy in severe chronic anaemia from long-term bloodletting with cupping.
Cardiac hypertrophy in a patient with severe iron deficiency anaemia associated with long-term bloodletting using cupping, called 'puhang' in oriental medicine, is discussed using chest electrocardiographic and radiographic images. With iron supply, the patient showed remarkable improvement of cardiomegaly, which is a unique feature of chronic severe iron deficiency anaemia.
Sohn
Il-Suk
IS
Cardiovascular Center Kyunghee East-West Neo Medical Center, 149 Sangil-dong, Gangdong-gu, Seoul 134-727, South Korea. issohn89@hanmail.net
Jin
Eun-Sun
ES
Cho
Jin-Man
JM
Kim
Chong-Jin
CJ
Bae
Jong-Hoa
JH
Moon
Ju-Young
JY
Lee
Sang-Ho
SH
Kim
Myung-Jae
MJ
D000368:Aged; D018798:Anemia, Iron-Deficiency / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D006332:Cardiomegaly / Q000000981:diagnostic imaging / Q000209:etiology / Q000517:prevention & control*; D002908:Chronic Disease; D004232:Diuretics / Q000627:therapeutic use; D005260:Female; D005665:Furosemide / Q000627:therapeutic use; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D058085:Iron Compounds / Q000627:therapeutic use*; D017706:Lisinopril / Q000627:therapeutic use; D018962:Phlebotomy / Q000009:adverse effects*; D016896:Treatment Outcome; D014463:Ultrasonography
D000806:Angiotensin-Converting Enzyme Inhibitors; D004232:Diuretics; D058085:Iron Compounds; D005665:Furosemide; D017706:Lisinopril