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Correspondence
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Volume 330:1239-1240 April 28, 1994 Number 17
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Evaluation of the Gastrointestinal Tract in Patients with Iron-Deficiency Anemia

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by Rockey, D. C.
To the Editor: In their study of patients with iron-deficiency anemia, Rockey and Cello (Dec. 2 issue)1 made no attempt to exclude celiac disease as a potential cause, and they suggest that this possibility is unlikely. This is surprising given the well-known presentation of celiac disease with iron-deficiency anemia alone2. In other series, celiac disease was the underlying cause of disease in up to 3 percent of patients presenting with iron-deficiency anemia3,4. The authors may therefore have missed several cases of celiac disease among their 100 patients. In the United Kingdom many gastroenterologists would perform a distal duodenal . . . [Full Text of this Article]

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