Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-17026
von Garnier, C; Stünitz, H; Decker, M; Battegay, E; Zeller, A (2008). Pica and refractory iron deficiency anaemia: a case report. Journal of Medical Case Reports, 2:324:1-5.
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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.
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|Item Type:||Journal Article, refereed, original work|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Clinic and Policlinic for Internal Medicine|
|DDC:||610 Medicine & health|
|Date:||6 October 2008|
|Deposited On:||27 Feb 2009 13:21|
|Last Modified:||23 Nov 2012 12:59|
|Additional Information:||Free full text article|
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