ABSTRACT
52 Year old male was admitted with respiratory distress. Radiological examination revealed a large mass in patient's right hemi thorax with mediastinal shift and partial lung collapse. Biopsies previously done conferred the diagnosis of solitary fibrous tumor; however, in order to avoid a surgical resection, patient didn't follow the adviced procedure. After thorough counseling, surgical resection was done with few post operative complications and patient recovered well with ability to perform his daily activities with partial support. The histopathology results showed solitary fibrous tumor. Apart from pneumonia and local wound infection, patient status was well for the next six week follow-up
ABSTRACT
Objective: The aim of the study is to determine frequency of celiac disease in adults with inexplicable iron deficiency Anemia
Study Design: Cross-sectional / observational study
Place and Duration of Study: This study was conducted at all Medical units of Civil Hospital Karachi from December 2009 to June 2010
Materials and Methods: The study included diagnosed cases of Iron Deficiency Anemia on basis of Iron profile without evident reason. They were evaluated for celiac disease on the basis of serological markers i.e. tissue transglutaminase antibodies [TTG] IgA type via standard laboratory procedures
Results: A total of 100 patients with Iron deficiency anemia previously diagnosed on basis of serum levels were included in this study. The average age was 37.12 + 8.2years and 44 [44%] were males.Celiac disease was found via serology in 16 [16%] of the patients. Out of these 16 Celiac disease patients 7 [43.75%] were males and 9 [56.25%] were females with 1:1.28 male to femaleratio
Conclusion: Celiac disease is an important cause of inexplicable Iron deficiency anemia especially in absence of gastro-intestinal symptoms. Serology though less sensitive, but can be an important screening tool for these patients