Choquet P, Levrat V, Pondarre C, Vianney C, Guffon N
Centre de Référence des Maladies Héréditaires du Métabolisme, Hôpital Femme-Mère-Enfant, 59 Boulevard Pinel, 69500 Bron Lyon, France.
Arch Pediatr. 2009 Dec;16(12):1559-61. doi: 10.1016/j.arcped.2009.09.010. Epub 2009 Oct 23.
Anemia is a very common symptom encountered in numerous clinical situations in pediatrics. Etiologies range from classic iron-deficiency anemia to the more particular etiologies. We report on a clinical history where usual symptoms such as asthenia, drowsiness and proteinuria provided a rare diagnosis: Imerslund-Gräsbeck syndrome. We discuss the exams to be done with aregenerative macrocytic anemia so as not to underestimate these diagnoses, which each require adapted treatments.
贫血是儿科众多临床情况下非常常见的症状。病因范围从典型的缺铁性贫血到更特殊的病因。我们报告了一个临床病例，其中乏力、嗜睡和蛋白尿等常见症状得出了一个罕见的诊断：Imerslund-Gräsbeck综合征。我们讨论了针对非再生性大细胞贫血应进行的检查，以免低估这些诊断，因为每种诊断都需要采用适当的治疗方法。
