nI otiidadn ot the pvseoiru niepna:lxota
Seh is iorn icnetidef dna celcia sffacte eht pilxamor mdedu.oun I" kFcdue tiryn"Bat = r,oIn oFtlea, B21 ofr eDou,ndmu nueJmju adn mleIu
'im slitl donecincv tshi is rarbtilie bowel onsmyr.de geCnha ym imn.d
Caicel epurs si a slmbnaaoirtop osnydrme hatt stlures ni etsreathrao adn lusrtes ni iorn eifyccneid aeinam. sA rfa as I'm a,wrea none of teh osehrt eutslr ni noir decifeicyn a.inmea (I had leariBcat hvogerotrw sa a leosc cdosen tbu I 'tnod ebeveil 'athts sdactaeois hitw orni ieif.cdcyn)e
The stems also states that lateral chest x-ray shows mild osteopenia. Celiac disease can lead to malabsorption due it's pathology affecting absorption of nutrient. Celiac disease is often a cause of low bone density and patients with celiac disease have an increased fracture risk. This is thought to be due to lack of absorption of vitamin D and calcium causing a secondary hyperparathyroidism.
Furthermore, in celiac disease, impaired iron uptake from the duodenal lumen is the most likely cause since Iron enters the epithelial cell of the duodenal mucosa in ferrous form through an apical or brush border membrane transport protein termed the divalent metal transporter (DMT1).
Taking into account the following, based on her lab values she has microcytic anemia given her hemoglobin level of 9.6 and her MCV of 74 which is < 80. Lab values of a pt w/ Iron deficiency would be: decreased iron, high TIBC, decreased ferritin, increased free erythrocyte protoporphyrin.
FA 2017 page 396.