Abdominal Mass in an Elderly Woman

Charles Maltz, Fredrick T. Sherman, Martin H. Poleski, Sidney J. Winawer, P. L. Cooperberg, L. R. Peterson, M. Graham, James H. Nelson, Edward B. Black

Research output: Contribution to journalLetterpeer-review


To the Editor: In the CPC, “Abdominal Mass…in an Elderly Woman,” in the June 1 issue of the Journal, the discussant's reasoning leads him to the incorrect diagnosis because it is based on certain very basic erroneous premises. A hemoglobin of 7.7 g per 100 ml, microcytic hypochromic indexes and a transferrin saturation of 7 per cent is an iron-deficiency anemia, which in an elderly patient is caused by gastrointestinal blood loss until proved otherwise. It is in no way compatible “with anemia caused by a chronic disease,” nor can it be ascribed to old age. The presence of.

Original languageEnglish
Pages (from-to)664-665
Number of pages2
JournalNew England Journal of Medicine
Issue number12
StatePublished - 21 Sep 1978
Externally publishedYes


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