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Schistosomiasis and associated iron-deficiency anaemia presenting decades after immigration from sub-Saharan Africa
  1. Sarah Anne Leir1,1,
  2. Oliver Foot1,
  3. Dakshika Jeyaratnam2 and
  4. Martin Brunel Whyte3
  1. 1 King’s College Hospital NHS Foundation Trust, London, UK
  2. 2 Department of Medical Microbiology, Kings College Hospital NHS Foundation Trust, London, UK
  3. 3 Diabetes, King’s College Hospital, London, UK
  1. Correspondence to Dr Sarah Anne Leir, sleir019{at}
  • 1 Faculty of Medicine, University of Ottawa, ON, Canada


Chronic schistosomiasis and its intestinal manifestations can lead to anaemia. However, schistosomiasis resulting in anaemia is rare in the UK. This report aims to raise awareness of schistosomiasis in immigrants to the UK and prevent missed diagnosis.

  • tropical medicine (infectious disease)
  • gastroenterology
  • haematology (incl blood transfusion)
  • infection (gastroenterology)
  • migration and health

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  • Contributors All authors made substantial contributions to the conception and design of the work as well as the acquisition, analysis and interpretation of the data. All authors contributed to drafting the work and revising it critically for important intellectual content. All authors made final approval of the version published and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. SAL contributed to the planning, design and conception of the report as well as data acquisition, analysis and interpretation and drafting of the report. OF contributed to the histology slides and captions as well as editing the report. DJ contributed by advising on the choice of schistosomal serology investigation, interpretation of results and recommended treatment. MBW contributed to the conception, planning, design and editing of the final report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.