Intern. Med. volume 35, issue 11, P898-901 1996 DOI: 10.2169/internalmedicine.35.898 View full text
Takashi IHARA, Tomoyuki TSUJIKAWA, Keiko HODOHARA, Hisayuki INOUE, Yoshihide FUJIYAMA, Tadao BAMBA, Hidetoshi OKABE

Abstract: A 64-year-old manwas referred to our hospital for evaluation of progressive anemia. On admission, he had a severe normocytic normochromic anemia [hemoglobin 7.5 g/dl] requiring a blood transfusion. Endocrinological studies demonstrated an isolated ACTHdeficiency. After receiving glucocorticoid replacement therapy, his anemia was rapidly corrected, his hematocrit and hemoglobin remained elevated for approximately 4 months. Wepresent evidence that glucocorticoid plays an important role in the physiological regu…

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