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Ischaemic gastritis: case report A 91-year-old man developed acute ischaemic gastritis (IG) following treatment with ferrous sulfate for anaemia [dosage, duration of treatment to reaction onset and outcome not stated]. The man had anaemia, and he had been receiving oral ferrous sulphate. Subsequently, he presented with haematemesis. The laboratory investigations revealed haemoglobin 7.2 g/dL, mean corpuscular volume 83.2 fL, urea 48 mg/dL and prothrombin rate 68%. Gastroscopy showed the ischaemic appearance of the stomach body with limited mucous and haematologic debris. Biopsy revealed brown-black colouration of the adjacent mucosa along with the presence of fibrin erosions. An epithelium with fibrinleukocyte scar tissue and brown-yellowish material was seen in the lamina propria as well as in the foveolar and glandular cytoplasm. The perls method showed a positive result for the pigment. These findings confirmed the diagnosis of acute IG secondary to the intake of oral iron. Quinones Castro R, et al. Ischemic gastritis due to oral iron. Revista Espanola de Enfermedades Digestivas 111: 971-972, No. 12, Dec 2019. Available from: URL: http:// 803507878 doi.org/10.17235/reed.2019.6401/2019 [Spanish; summarised from a translation]

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Reactions 17 Oct 2020 No. 1826