A 52 year-old male patient diagnosed of ankylosing spon-dylitis presented with an iron deficiency anemia after a ten-month treatment of methotrexate. He did not respond to treatment with oral iron not a proton pump inhibitor and an upper endoscopy was performed. The histological study of the duodenal biopsies showed villus atrophy. After removing the methotrexate, administrating intra-muscular iron and undertaking a gluten-free diet, the histological and analytical alterations progressively resolved.
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机译：s综合征cooraçãartialido（síndromede Takotsubo）induzida por ecocardiograma de estresse comdobutaminasíndromedelcorazónroto（síndromede Tako-Tsubo）inducido por ecocardiograma de esfuerzo con dobutamina Dobutamine stress echocardiography-induced broken heart syndrome（Takotsubo syndrome）
