Puzzling (IRIDA-Like and Hemolytic) Anemia in a Child With Idiopathic Pulmonary Hemosiderosis

被引:0
作者
Nishikado, Motokazu [1 ]
Awaguni, Hitoshi [1 ]
Shinozuka, Jun [1 ]
Okumura, Kenichi [1 ]
Imashuku, Shinsaku [1 ,2 ]
机构
[1] Uji Tokushukai Med Ctr, Dept Pediat, Uji, Kyoto, Japan
[2] Uji Tokushukai Med Ctr, Lab Med, Uji, Kyoto, Japan
关键词
iron-refractory iron deficiency anemia; autoimmune hemolytic anemia; idiopathic pulmonary hemosiderosis; Berlin blue stain;
D O I
10.1097/MPH.0000000000002385
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Before the diagnosis of idiopathic pulmonary hemosiderosis (IPH), unexplained or puzzling anemia may precede and delay in the diagnosis of pediatric IPH is common. A 5.8 years old female child initiated with iron-refractory iron deficiency anemia-like iron deficiency and hemolytic anemia and at 6.8 years of age IPH was materialized, when the patient showed the triad signs of IPH with hemosiderin-laden alveolar macrophages in gastric aspirate. Although time to the diagnosis was previously reported to be ranged from 16 to 30 months, in our case it took 12 months from the initial anemia to IPH diagnosis.
引用
收藏
页码:191 / 193
页数:3
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