BMJ Best Practice
最后审核时间: 一月 2019
最近更新时间: 十月 2018

小结

定义

病史和查体

关键诊断因素

  • 疲劳
  • 异食癖
  • 指甲改变
  • 脱发

其他诊断因素

  • 肌肉功能损害
  • 舌炎和口角炎
  • 胃部不适
  • 不宁腿综合征

危险因素

  • 黑人女性
  • 妊娠
  • 纯素饮食
  • 月经过多

诊断性检查

首要检查

  • 血红蛋白和红细胞压积
  • 血小板计数
  • MCV
  • 红细胞平均血红蛋白含量(MCH )
全部具体信息

需要考虑的检查

  • 乳糜泻的血清学检测
  • 幽门螺杆菌 IgG 抗体或粪便抗原
  • 尿素酶呼气试验
  • 自身免疫性胃炎检验
全部具体信息

新兴检查

  • 尿铁调素
  • 低色素性红细胞的百分比
  • 网织红细胞血红蛋白含量
  • 红细胞原卟啉
全部具体信息

治疗流程

急性

贡献者

Consultant Haematologist

Lysosomal Storage Disorders Unit

Department of Haematology

Royal Free Hospital

London

UK

利益冲突披露
AM declares that he has no competing interests.

Dr Atul Metha would like to gratefully acknowledge Dr Martina Murphy, Dr Marc Zumberg, and Dr Rebecca Fischer Connor, the previous contributors to this monograph. MZ declares that he is medical director for NCF Diagnostics and DNA Technologies, as well as serving as a consultant for Alexion Pharmaceutics. MM and RFC declare that they have no competing interests.

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Internal Medicine Instructor

Member of Evidence Based Medicine Unit

Catholic University of Chile

Santiago

Chile

利益冲突披露
CA declares that he has no competing interests.

Consultant Haematologist

Clinical Haematology

University Hospital Birmingham NHS Trust

Birmingham

UK

利益冲突披露
JM declares that he has no competing interests.

Medical Director

Blood Management

Cleveland Clinic

Cleveland

OH

利益冲突披露
AK has received a fee for speaking about perioperative blood management from Ortho-Biotech and has also received reimbursement from medscape.com for the education webcast of the same presentation.

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