表现为缺铁性贫血的特发性颅内高压：一例报告
Idiopathic intracranial hypertension presenting as iron deficiency anemia: a case report.
作者信息
Sim Peng Yong, Taribagil Priyal, Woollacott Ione O C, Rashid Safina, Kidd Desmond P
机构信息
Department of Ophthalmology, Royal Free Hospital, London, UK.
University College London Medical School, London, UK.
出版信息
J Med Case Rep. 2021 Feb 2;15(1):45. doi: 10.1186/s13256-020-02631-2.
BACKGROUND
The presentation of idiopathic intracranial hypertension (IIH) in association with iron deficiency anemia (IDA) is rare.
CASE PRESENTATION
This case report depicts the unusual case of a 31-year-old woman of mixed Jamaican and English heritage with IIH who presented initially as IDA in the context of menorrhagia. Subsequent ophthalmic review, lumbar puncture, cerebrospinal fluid analysis and neuroimaging studies revealed severe bilateral optic disc swelling and raised intracranial pressure in keeping with IIH. Prompt treatment of IDA with blood transfusion and orally administered iron supplements, in addition to medical treatment for IIH, contributed to significant improvement of symptoms and prevented long-term visual deficits.
CONCLUSION
The possibility of IDA, albeit rare, should always be considered and investigated appropriately in all patients with IIH, as the treatment of the anemia alone may be sight-saving.
背景
特发性颅内高压（IIH）与缺铁性贫血（IDA）同时出现的情况较为罕见。
病例报告
本病例报告描述了一名具有牙买加和英国混血血统的31岁女性的罕见病例，该患者患有IIH，最初因月经过多表现为IDA。随后的眼科检查、腰椎穿刺、脑脊液分析和神经影像学研究显示双侧视神经乳头严重肿胀，颅内压升高，符合IIH表现。除了对IIH进行药物治疗外，通过输血和口服铁补充剂迅速治疗IDA，有助于症状显著改善并预防长期视力缺陷。
结论
尽管罕见，但在所有IIH患者中都应始终考虑并适当调查IDA的可能性，因为单独治疗贫血可能挽救视力。
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