Abstract
Cardiac hypertrophy in a patient with severe iron deficiency anaemia associated with long-term bloodletting using cupping, called 'puhang' in oriental medicine, is discussed using chest electrocardiographic and radiographic images. With iron supply, the patient showed remarkable improvement of cardiomegaly, which is a unique feature of chronic severe iron deficiency anaemia.
MeSH terms
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Aged
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Anemia, Iron-Deficiency / complications*
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Anemia, Iron-Deficiency / diagnosis
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Anemia, Iron-Deficiency / drug therapy
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Anemia, Iron-Deficiency / etiology*
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Angiotensin-Converting Enzyme Inhibitors / therapeutic use
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Cardiomegaly / diagnostic imaging
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Cardiomegaly / etiology
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Cardiomegaly / prevention & control*
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Chronic Disease
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Diuretics / therapeutic use
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Female
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Furosemide / therapeutic use
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Heart Failure / diagnostic imaging
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Heart Failure / etiology
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Heart Failure / prevention & control*
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Humans
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Iron Compounds / therapeutic use*
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Lisinopril / therapeutic use
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Phlebotomy / adverse effects*
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Treatment Outcome
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Ultrasonography
Substances
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Angiotensin-Converting Enzyme Inhibitors
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Diuretics
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Iron Compounds
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Furosemide
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Lisinopril