Document Detail


Severe iron deficiency anemia in a child with idiopathic pulmonary hemosiderosis: a case report.
MedLine Citation:
PMID:  12405442     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of idiopathic pulmonary hemosiderosis (IPH) in a three-year-old male patient who presented with severe iron deficiency anemia. The child had been diagnosed with iron deficiency anemia nine months earlier and had received multiple blood transfusions, but the cause of his anemia had not been established. The diagnosis of IPH was made after a biopsy of the left lung showed large numbers of hemosiderin-filled macrophages in the alveoli. He did not respond to standard dose corticosteroid (CS) treatment (2 mg/kg/d). However, high-dose short-term CS treatment was successful in two episodes of acute respiratory hemorrhage in this patient. We conclude that IPH should always be considered when investigating the cause of iron deficiency anemia. A more rapid diagnosis in this case could have prevented unnecessary investigations and blood transfusions. We also suggest that high-dose short-term CS treatment should be kept in mind, especially in patients who do not respond to a standard dose.
Authors:
Murat Derbent; Figen Ozçay; Umit Saatçi; Namik Ozbek
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Turkish journal of pediatrics     Volume:  44     ISSN:  0041-4301     ISO Abbreviation:  Turk. J. Pediatr.     Publication Date:    2002 Jul-Sep
Date Detail:
Created Date:  2002-10-30     Completed Date:  2002-11-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417505     Medline TA:  Turk J Pediatr     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  258-60     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Başkent University, Faculty of Medicine, Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Anemia, Iron-Deficiency / etiology*
Child, Preschool
Hemosiderosis / complications*,  pathology
Humans
Lung Diseases / complications*,  pathology
Male
Pulmonary Alveoli / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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