dc.contributor.author | Rashid, Muhammad | |
dc.contributor.author | Abdelmonem, Ahmed | |
dc.contributor.author | Mohamed, Ashraf | |
dc.date.accessioned | 2020-04-14T16:12:36Z | |
dc.date.available | 2020-04-14T16:12:36Z | |
dc.date.issued | 2019-02-22 | |
dc.identifier | ouhd_rashid_unusualetiologyfor_2019 | |
dc.identifier.citation | Rashid, M., Abdelmonem, A., & Mohamed, A. (2019, Feb. 22). Unusual etiology for a common problem. Poster presented on Research Day at the Oklahoma State University Center for Health Sciences, Tulsa, OK. | |
dc.identifier.uri | https://hdl.handle.net/11244/323861 | |
dc.description.abstract | Introduction: Diagnosing the etiology of iron deficiency anemia can be very challenging. | |
dc.description.abstract | Hypothesis: Etiology of iron deficiency anemia is not always straightforward | |
dc.description.abstract | Study design: Case Report | |
dc.description.abstract | Results: 2-year-old female presented with fever, cough, pallor for 4 days. CXR showed diffuse pulmonary opacities. CRP 3.45, ESR 21, WBC 6, platelet of 361, Hgb of 4 gm/dl, MCV 54, developed hemoptysis and was transferred to the PICU with respiratory failure. Bronchiolar lavage and lung biopsy showed extensive hemosiderin-laden macrophages. Iron deficiency anemia, progressive cough, dyspnea, and infiltrates on CXR was consistent with idiopathic pulmonary hemosiderosis. Pneumocystis, HIV, histoplasma, SLE, vasculitides were negative. Patient responded to a burst of steroid with normalization of breathing and Hgb level during follow up. | |
dc.description.abstract | 16 y/o female marathon runner with iron deficiency anemia refractory to iron supplementation, Hgb 7.4gm/dl over 6 month period despite taking iron supplements. MVC was 68, ferritin of 2, transferrin/TIBC levels were elevated. Hemoccult stool negative. Combination of intense physical exercise, refractory iron deficiency anemia, and lack of GI blood loss led to consideration of march hemoglobinuria. Urinalysis positive for blood, confirming the diagnosis. With IV iron and reduction of intensity of running, Hgb was up to 14.1. | |
dc.description.abstract | Conclusion: These two cases of uncommon causes of blood loss highlight the importance of considering rare causes for iron deficiency anemia especially when it is not responding to iron supplement. Without treatment of underlying cause, anemia would persist. | |
dc.format | application/pdf | |
dc.language | en_US | |
dc.publisher | Oklahoma State University Center for Health Sciences | |
dc.rights | The author(s) retain the copyright or have the right to deposit the item giving the Oklahoma State University Library a limited, non-exclusive right to share this material in its institutional repository. Contact Digital Resources and Discovery Services at lib-dls@okstate.edu or 405-744-9161 for the permission policy on the use, reproduction or distribution of this material. | |
dc.title | Unusual etiology for a common problem | |
osu.filename | ouhd_rashid_unusualetiologyfor_2019.pdf | |
dc.type.genre | Presentation | |
dc.type.material | Text | |