Divisions of Allergy and Immunology.
Gastroenterology, Hepatology and Nutrition.
Pediatrics. 2018 Jul;142(1). doi: 10.1542/peds.2017-2971.
A 19-month-old girl with a history of asthma and atopic dermatitis presented to her pediatrician because of parental concerns of pallor and fatigue. On dietary history, it was discovered that she was a picky eater and consumed 26 oz of homogenous milk daily. Her physical examination was unremarkable aside from pallor, and both her height and weight plotted between the 50th and 75th percentile for age. Therefore, she was investigated for iron deficiency anemia and indeed her blood work was consistent. Despite appropriate iron supplementation and dietary milk restriction, there was no improvement in her hemoglobin or iron studies. Our expert panel examines the case and offers a differential diagnosis for a child presenting with treatment-resistant iron deficiency anemia.
一位 19 个月大的女孩，有哮喘和特应性皮炎病史，因父母担心其苍白和疲劳而就诊于儿科医生。在饮食史方面，发现她是一个挑食者，每天摄入 26 盎司的均质牛奶。除了苍白之外，她的体检无明显异常，身高和体重均处于同龄的第 50 至 75 百分位。因此，她被诊断为缺铁性贫血，其血液检查结果确实如此。尽管进行了适当的铁补充和饮食牛奶限制，但其血红蛋白或铁研究仍未见改善。我们的专家小组检查了该病例，并为治疗抵抗性缺铁性贫血患儿提供了鉴别诊断。
