Iron Deficiency Anemia Can be an Indication for Treatment of Subclinical Hypothyroidism
Iron Deficiency Anemia Can be an Indication for Treatment of Subclinical Hypothyroidism
To determine whether iron deficiency anemia can be an indication for the treatment of
 subclinical hypothyroidism.
51 Patients presented to our university outpatient internal medicine clinic who are found to
 have iron deficiency anemia coexisting with subclinical hypothyroidism have been included in
 this study. Patients were randomly assigned to oral iron or oral iron plus levothyroxin
 therapy. The physician and the patients did not know who received oral iron only or oral iron
 plus levothyroxine treatment. Hematologic parameters as well as serum iron, ferritin and iron
 binding capacity were being measured at the beginning and 3 months after treatment in both
 groups.
Inclusion Criteria:

 -  Clinical diagnosis and laboratory confirmation of iron deficiency anemia and
 subclinical hypothyroidism

 -  Must be able to swallow tablets

 Exclusion Criteria:

 -  Multifactorial anemia or anemia due to other reasons

 -  Iron deficiency anemia requiring urgent intervention- cardiac ischemia, severe anemia,
 GI or GU losses due to malignancy and or acute/subacute big loses by respiratory, Gİ,
 GU, etc. system

 -  Prior thyroid disorder and/or treatment history

 -  Presence of any other co-morbid disease like renal insufficiency/ failure, coronary
 heart disease, hypertension, diabetes mellitus, any endocrine system disease other
 than subclinical hypothyroidism