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Updated: May 24, 2025

Measurement of Tissue Non-Heme Iron Content using a Bathophenanthroline-Based Colorimetric Assay
Published on: January 31, 2022
An unusual association: gastric xanthelasma presenting with iron deficiency anemia: a case report
Yuksel Dogan1, Adnan Mesut Dede2, Arzu Erdoğan3
1Department of General Surgery, Bartın State Hospital, Bartın State Hospital, Tuna Mahallesi 846, Cadde No:15, 74100, Merkez Bartın, Turkey. ydogan49@yahoo.com.tr.
Background:
Gastric xanthelasma is a rare, benign lesion with uncertain clinical significance. Despite its asymptomatic nature, it may coexist with conditions like chronic gastritis and iron deficiency anemia.
Case Presentation:
A 71-year-old Turkish male presented with iron deficiency anemia, chronic fatigue, and upper abdominal pain. Endoscopy revealed yellowish-white plaques (2-6 mm) on the antral mucosa, confirmed as gastric xanthelasma on histopathology. Concurrently, a rectal sessile polyp was excised during colonoscopy. The patient recovered following a 3-month course of oral iron supplementation and proton pump inhibitors. Follow-up endoscopy showed resolution of gastric lesions.
Conclusion:
This report underscores the diagnostic importance of endoscopy and biopsy in patients with unexplained anemia and highlights the potential association between gastric xanthelasma and ron deficiency anemia, warranting further research.
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