A Case Report of Decompensated Cirrhosis of
Liver with Sideroblastic Anemia

Salimur Rahman; Abdur Rahim; Sheikh Mohammad Noor-e-Alam; Faiz Ahmad Khandokar; Ahmed LutfulMubin

doi:10.5005/jp-journals-10018-1132

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A Case Report of Decompensated Cirrhosis of Liver with Sideroblastic Anemia

Salimur Rahman, Abdur Rahim, Sheikh Mohammad Noor-e-Alam, Faiz Ahmad Khandokar, Ahmed LutfulMubin

Citation Information : Rahman S, Rahim A, Mohammad Noor-e-Alam S, Ahmad Khandokar F, LutfulMubin A. A Case Report of Decompensated Cirrhosis of Liver with Sideroblastic Anemia. Euroasian J Hepatogastroenterol 2015; 5 (1):55-56.

DOI: 10.5005/jp-journals-10018-1132

License: CC BY-NC 4.0

Published Online: 01-06-2017

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Abstract

A 35-year-old man was admitted to hospital with severe anemia. Two years back, he had presented with bleeding esophageal varices and subsequently diagnosed as a case of chronic liver disease with portal hypertension. He was then treated with esophageal band ligation. He tested positive for hepatitis B surface antigen with HBV DNA levels of 4 × 106 copies/ml by PCR. His repeat endoscopy showed grade 1 esophageal varices with no evidence of recent or active bleeding. On further investigation, his bone marrow showed dimorphic erythroid hyperplasia with ring sideroblasts and diagnosis of sideroblastic anemia was made. Although rarely, it was suggested that as cirrhosis is a chronic process, it may cause nutritional deficiency, which in turn may lead to the development of anemia.

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