Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Severe Anemia in a Patient with Isolated Adrenocorticotropin Deficiency
Takashi IHARATomoyuki TSUJIKAWAKeiko HODOHARAHisayuki INOUEYoshihide FUJIYAMATadao BAMBAHidetoshi OKABE
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1996 Volume 35 Issue 11 Pages 898-901

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Abstract

A 64-year-old man was referred to our hospital for evaluation of progressive anemia. On admission, he had a severe normocytic normochromic anemia [hemoglobin 7.5 g/dl] requiring a blood transfusion. Endocrinological studies demonstrated an isolated ACTH deficiency. After receiving glucocorticoid replacement therapy, his anemia was rapidly corrected, his hematocrit and hemoglobin remained elevated for approximately 4 months. We present evidence that glucocorticoid plays an important role in the physiological regulation of human erythropoiesis.
(Internal Medicine 35: 898-901, 1996)

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© The Japanese Society of Internal Medicine
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