Pica and refractory iron deficiency anaemia: a case report

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)

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:

30 Dec 2014 21:18

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)

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