Iron deficiency anemia with thrombocytosis on a health checkup

Abstract

 Iron deficiency anemia is reported to have malignant and non-malignant etiologies, including gastro-intestinal bleeding and uterine leiomyoma. Iron deficiency anemia has been associated with secondary thrombocytosis. Furthermore, iron deficiency anemia with thrombocytosis may lead to the development of fatal thrombotic disorders.

 Here, we report the case of a 45-year-old asymptomatic woman with severe anemia (Hb 5.9 g/dL) and thrombocytosis (461.0 × 10⁹/L) that was detected during a blood test performed as part of a routine health checkup. Based on the findings from the blood test, the patient was clinically diagnosed with iron deficiency anemia with thrombocytosis. Thereafter, computed tomography (CT) revealed uterine leiomyoma which causes chronic anemia. The iron deficiency anemia with thrombocytosis improved following treatment with an oral iron supplement. Furthermore, we discussed the literature review about iron deficiency anemia with thrombocytosis resulting in thrombotic disorders.