Table 1

Hematologic manifestations of CD

ProblemFrequencyComments
Anemia: iron deficiency, folate deficiency, vitamin B12 deficiency, and other nutritional deficiencies Common The anemia is most commonly secondary to iron deficiency but may be multifactorial in etiology. Low serum levels of folate and vitamin B12 without anemia are frequently seen. Anemia due to other deficiencies appears to be rare. 
Thrombocytopenia Rare May be associated with other autoimmune phenomena 
Thrombocytosis Common May be secondary to iron deficiency or hyposplenism 
Thromboembolism Uncommon Etiology is unknown but may be related to elevated levels of homocysteine or other procoagulants. 
Leukopenia/neutropenia Uncommon Can be autoimmune or secondary to deficiencies of folate, vitamin B12, or copper 
Coagulopathy Uncommon Malabsorption of vitamin K 
Hyposplenism Common Rarely associated with infections 
IgA deficiency Common May be related to anaphylactic transfusion reactions 
Lymphoma Uncommon The risk is highest for intestinal T-cell lymphomas 
ProblemFrequencyComments
Anemia: iron deficiency, folate deficiency, vitamin B12 deficiency, and other nutritional deficiencies Common The anemia is most commonly secondary to iron deficiency but may be multifactorial in etiology. Low serum levels of folate and vitamin B12 without anemia are frequently seen. Anemia due to other deficiencies appears to be rare. 
Thrombocytopenia Rare May be associated with other autoimmune phenomena 
Thrombocytosis Common May be secondary to iron deficiency or hyposplenism 
Thromboembolism Uncommon Etiology is unknown but may be related to elevated levels of homocysteine or other procoagulants. 
Leukopenia/neutropenia Uncommon Can be autoimmune or secondary to deficiencies of folate, vitamin B12, or copper 
Coagulopathy Uncommon Malabsorption of vitamin K 
Hyposplenism Common Rarely associated with infections 
IgA deficiency Common May be related to anaphylactic transfusion reactions 
Lymphoma Uncommon The risk is highest for intestinal T-cell lymphomas 
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