FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 355:2772-2779 December 28, 2006 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text PowerPoint Slide Set Supplementary Material Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Presentation of Case

A 64-year-old man was seen as an outpatient in the hematology division of this hospital because of anemia and a low serum level of high-density lipoprotein (HDL) cholesterol. A mild anemia had first been documented 3 years earlier (Table 1); 1 year earlier, the serum iron level and total iron-binding capacity were normal. Six months before the current evaluation, he began to have abdominal discomfort after eating; endoscopic examination showed evidence of esophageal reflux. Esomeprazole was administered twice daily, and his symptoms abated. The dose was then tapered, and the medication was used sporadically as needed.

View this table:   Table 1. Laboratory Data . . . [Full Text of this Article]

 
Differential Diagnosis

Causes of Anemia

Bone Marrow Failure

Monoclonal Gammopathy

Low HDL Cholesterol

Dr. Mandakolathur Murali's Diagnosis

Pathological Discussion

Anatomical Diagnoses

Source Information

From the Division of Allergy and Clinical Immunology (M.R.M.) and the Department of Pathology (A.K., K.E.F.), Massachusetts General Hospital; and the Departments of Medicine (M.R.M.) and Pathology (A.K., K.E.F.), Harvard Medical School. (Dr. Kratz is now at the Department of Pathology, College of Physicians and Surgeons, Columbia University, New York.)

Related Letters:

Case 40-2006: Anemia and Low HDL Cholesterol
Schifferli J. A., Goldberg R. B., Mendez A. J., Murali M. R.
Extract | Full Text | PDF  
N Engl J Med 2007; 356:1893-1895, May 3, 2007. Correspondence

This article has been cited by other articles:

• Dalal, B. I., Brigden, M. L. (2009). Factitious Biochemical Measurements Resulting From Hematologic Conditions. Am J Clin Pathol 131: 195-204 [Abstract] [Full Text]  
• Glaysher, J., Van Heyningen, C. (2007). Paradoxical decrease in high density lipoprotein-cholesterol associated with statin and fenofibrate combination therapy. British Journal of Diabetes & Vascular Disease 7: 295-297  
• Schifferli, J. A., Goldberg, R. B., Mendez, A. J., Murali, M. R. (2007). Case 40-2006: Anemia and Low HDL Cholesterol. NEJM 356: 1893-1895 [Full Text]