von Garnier, Christophe; Stünitz, Holger; Decker, Michael; Battegay, Edouard; Zeller, Andreas (2008). Pica and refractory iron deficiency anaemia: a case report. Journal of medical case reports, 2, p. 324. London: BioMed Central 10.1186/1752-1947-2-324
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ABSTRACT: INTRODUCTION: Iron deficiency is the most common cause of anaemia worldwide. Pica, the ingestion of substances that are inappropriate for consumption, is associated with iron deficiency and may be under-diagnosed. CASE PRESENTATION: A 34-year-old woman presented with iron deficiency anaemia refractory to treatment for more than a decade. The clinical presentation, endoscopic findings and laboratory investigations were consistent with pica. Subsequent geophysical analysis confirmed that the ingested material was kaolin, a negatively charged silicate. CONCLUSION: Prolonged unexplained iron deficiency anaemia should prompt clinicians to remember and inquire about pica. In our patient, this would have averted numerous unnecessary investigations and prevented a decade-long suffering.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Pneumology |
UniBE Contributor: |
von Garnier, Christophe |
ISSN: |
1752-1947 |
ISBN: |
18838005 |
Publisher: |
BioMed Central |
Language: |
English |
Submitter: |
Factscience Import |
Date Deposited: |
04 Oct 2013 15:04 |
Last Modified: |
05 Dec 2022 14:19 |
Publisher DOI: |
10.1186/1752-1947-2-324 |
PubMed ID: |
18838005 |
BORIS DOI: |
10.7892/boris.28049 |
URI: |
https://boris.unibe.ch/id/eprint/28049 (FactScience: 116151) |