The Iron-man: a case-report

The most common cause of microcytic anemia is iron deficiency. We report a 29 year old man with history of dyspnea, fatigue and severe microcytic anemia despite iron therapy for 3 years. Blood transfusions elevated the hemoglobin levels temporarily, but iv iron did not. Bone marrow showed sideroblas...

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Veröffentlicht in:	Laeknabladid 2011-01, Vol.97 (1), p.31
Hauptverfasser:	Einarsdóttir, Margrét Jóna, Reykdal, Sigrún Edda, Vidarsson, Brynjar
Format:	Artikel
Sprache:	ice
Schlagworte:	Adult Anemia, Sideroblastic - blood Anemia, Sideroblastic - diagnosis Anemia, Sideroblastic - therapy Blood Transfusion Bone Marrow Examination Hemoglobins - metabolism Humans Iron - administration & dosage Iron - blood Iron - deficiency Iron Overload - blood Iron Overload - etiology Iron Overload - therapy Male Phlebotomy Pyridoxine - therapeutic use Treatment Outcome Vitamin B Complex - therapeutic use
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Zusammenfassung:	The most common cause of microcytic anemia is iron deficiency. We report a 29 year old man with history of dyspnea, fatigue and severe microcytic anemia despite iron therapy for 3 years. Blood transfusions elevated the hemoglobin levels temporarily, but iv iron did not. Bone marrow showed sideroblastic anemia. The anemia resolved with pyridoxine treatment but severe iron overload necessitated multiple phlebotomies. Today the patient is asymptomatic on pyridoxine with a normal hemoglobin level.
ISSN:	0023-7213
DOI:	10.17992/lbl.2011.01.339