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CPE-004 · Iron status

ID-ST-03: Borderline ferritin (30 to 44)

Borderline ferritin (30 to 44). Evaluates ferritin 30 to 44 ng/mL.

Active rulePriority 5Iron engine v1.0.0

Condition

  • ferritin 30 to 44 ng/mL
  • anemia present OR iron-related symptoms OR restless legs

What it reports

  • Borderline ferritin: the AGA 2020 diagnostic cutoff for iron-deficiency anemia is 45 ng/mL

Diagnostic boundary

  • Not on its own an iron-deficiency criterion in an asymptomatic non-anemic patient.

Evidence

  • EV-AGA-2020Ko CW, Siddique SM, Patel A, et al. AGA Clinical Practice Guidelines on the Gastrointestinal Evaluation of Iron Deficiency Anemia. Gastroenterology. 2020;159(3):1085-1094.Supports: A ferritin cutoff of 45 ng/mL is suggested to diagnose iron deficiency Bidirectional endoscopy is suggested for asymptomatic men and postmenopausal women with iron-deficiency anemia Celiac serology and H. pylori testing have a role in evaluation

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