Fortschritte der Medizin
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Iron deficiency anemia is a common symptom of chronic occult gastrointestinal bleeding. There are numerous potential sources of gastrointestinal hemorrhage, most of which can be detected with the aid of endoscopy of the upper and lower digestive tract. Diagnostic procedures for the small bowel are less sensitive and usually more invasive. On the basis of the relevance of information they provide, the various diagnostic procedures and their indication in the diagnosis of iron deficiency anemia are critically reviewed, and a systematic diagnostic strategy developed.
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Fortschritte der Medizin · Sep 1997
Case Reports[Swollen parotid gland and lower leg erythema. Presentation of differential diagnosis and therapy based on a case report].
A 20-year-old woman developed erythema of the lower legs and swelling of both parotid glands. Her lung function parameters were initially unremarkable, and only discrete pulmonary-hilar changes were visible on the chest X-ray, and acute sarcoidosis was considered as one of the possible differential diagnoses. The paper describes in detail the diagnostic approach and the establishment of the differential diagnosis. The first attempts at therapy with the non-steroidal antiinflammatory drug diclofenac were unsuccessful, but treatment with glucocorticoids that was thereupon tried proved effective.