European Journal of Internal Medicine
Volume 19, Issue 7 , Pages 488-493, November 2008

Update of nutrient-deficiency anemia in elderly patients☆

  • Emmanuel Andrès

      Affiliations

    • Departments of Internal Medicine, Diabetes and Metabolic Disorders, University Hospital of Strasbourg, Strasbourg, France
    • Corresponding Author InformationCorresponding author. Service de Médecine Interne, Diabète et Maladies Métaboliques, Clinique Médicale B, Hôpital Civil, Hôpitaux Universitaires de Strasbourg, 1 porte de l'Hôpital, 67091 Strasbourg Cedex, France. Tel.: +33 3 33 88 11 50 66; fax: +33 3 33 88 11 62 62.
    • ,
  • Laure Federici

      Affiliations

    • Departments of Internal Medicine, Diabetes and Metabolic Disorders, University Hospital of Strasbourg, Strasbourg, France
    • ,
  • Khalid Serraj

      Affiliations

    • Departments of Internal Medicine, Diabetes and Metabolic Disorders, University Hospital of Strasbourg, Strasbourg, France
    • ,
  • Georges Kaltenbach

      Affiliations

    • Internal Medicine and Geriatrics, University Hospital of Strasbourg, Strasbourg, France

Received 25 May 2007; received in revised form 27 December 2007; accepted 20 January 2008. published online 17 March 2008.

Abstract 

Anemia, defined as a hemoglobin level < 13g/dL in men and < 12g/dL in women, is an important healthcare concern among the elderly. Nutrient-deficiency anemia represents one third of all anemias in elderly patients. About two thirds of nutrient-deficiency anemia is associated with iron deficiency and most of those cases are the result of chronic blood loss from gastrointestinal lesions. The remaining cases of nutrient-deficiency anemia are usually associated with vitamin B12, most frequently related to food-cobalamin malabsorption, and/or folate deficiency and are easily treated (nutrient-deficiency replacement).

Keywords: Anemia, Nutrient-deficiency anemia, Elderly, Iron deficiency, Vitamin B12 deficiency, Folate deficiency

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☆ Supported by a grant from the Fondation de France: Prix Robert et Jacqueline Zittoun, 2004.

PII: S0953-6205(08)00057-5

doi:10.1016/j.ejim.2008.01.016

European Journal of Internal Medicine
Volume 19, Issue 7 , Pages 488-493, November 2008

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