Medical history (history of illness) represents an important component in the diagnosis of iron deficiency anemia.
Family history
- Are there any diseases in your family that are common?
Social history
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- Have you noticed symptoms such as decreased performance, difficulty concentrating, or fatigue?
- Have you noticed skin symptoms such as mouth rhagades (lazy mouth), aphthae (painful milky-yellowish formations) on the oral mucosa, or pale skin/mucous membranes?
- Do you have hair loss or brittle nails?
- Do you suffer from dry, itchy skin?
- Have you noticed symptoms such as night sweats, fever or weight loss?* .
- How long have these symptoms been present? Please indicate chronological order?
Vegetative anamnesis incl. nutritional anamnesis.
- Do you eat a balanced diet?
- Are you vegetarian or vegan (lifestyle that rejects the use of animals and animal products)?
- Do you take enough iron with food?
- Are you an athlete?
- Do you donate blood regularly?
Self history including medication history.
- Pre-existing conditions (gastrointestinal diseases; blood clotting disorders; tumor diseases).
- Surgeries (gastric surgery)
- Allergies
- Pregnancies
Medication history
- Antiprotozoal drugs
- Analogue of the azo dye trypan blue (suramin).
- Pentamidine
- Chelating agents (D-penicillamine, trieethylenetetramine dihydrochloride (Trien), tetrathiomolybdenum).
- Direct factor Xa inhibitor (rivaroxaban).
- Immunosuppressants (thalidomide).
- Janus kinase inhibitors (ruxolitinib).
- Monoclonal antibodies – pertuzumab
- MTOR inhibitors (everolimus, temsirolimus).
- Neomycin
- P-aminosalicylic acid (mesalazine)
- Proton pump inhibitors (PPI; acid blockers) – patients on continuous PPI therapy are more often affected by iron deficiency: this depends on therapy duration and dosage
- Thrombin inhibitor (dabigatran).
- Tuberculostatics (isoniazid, INH; rifampicin, RMF).
- Antivirals
- NS5A inhibitors (daclatasvir).
- Protease inhibitors (boceprevir, telaprevir).
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Data without guarantee)