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Issue Date
2011-01
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The Iron-man : A case-reportCitation
Læknablaðið 2011, 97(1):31-3Abstract
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.Algengasta orsök smáfrumublóðleysis er járnskortur. Sagt er frá 29 ára manni sem hafði verið með mæði, slappleika og svæsið smáfrumublóðleysi í þrjár vikur þrátt fyrir þriggja ára járntöku. Blóðgjafir hækkuðu blóðrauða tímabundið en járngjafir í æð höfðu engin áhrif. Beinmergsrannsókn greindi arfgengt járnkímfrumublóðleysi. Pýridoxín leiðrétti blóðleysið en maðurinn þurfti á endurteknum aftöppunum að halda vegna mikillar járnofhleðslu. Nú tekur hann pýridoxín, er einkennalaus og með eðlilegan blóðhag.
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