'Goose bumps'-associated anaemia.
A 36-year-old woman presented to our hospital for further evaluation of anaemia screened by regular check-up. She was diagnosed with iron-deficiency anaemia (IDA) but refractory to iron supplementation. She had negative results of occult blood in the stool and no gynaecologic disease potentially causing hyper menorrhea. Upper endoscopy revealed a nodular gastritis, which has been called 'Torihada-ien', a Japanese word meaning 'gastritis with goose bumps-like appearance', associated with Helicobacter pylori (Hp) infection. After Hp eradication therapy, her anaemia resolved with an improved response to iron supplementation. In an unexplained IDA patient, Hp-associated gastritis should be considered in the possible background.
Department of General Internal Medicine, Ohta-Nishinouchi Hospital, Koriyama City, Fukushima, Japan. gim-hoshino@ohta-hp.or.jp
Chisho
C
Hoshino
Akane
A
Yamabe
Yoshiyuki
Y
Sekikawa
Kana
K
Ishihara
Hiroshi
H
Ikeda
Noriyuki
N
Satoh
Masashi
M
Narita
Minoru
M
Inoue
D000328:Adult; D018798:Anemia, Iron-Deficiency / Q000209:etiology*; D001944:Breath Tests; D003937:Diagnosis, Differential; D005260:Female; D005773:Gastroscopy; D016481:Helicobacter Infections / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy*; D006801:Humans