Rare cause of hypochromicmicrocytic anaemia
Keywords:
iron deficiency, anaemia, pica disorder, lead poisoningAbstract
A 35-year-old lady who had persistent iron deficiency anaemia underwent extensive investigations over the course
of six months with involvement of seven different medicalspecialties before a diagnosis of pica disorder causing
lead poisoning was formally made.The patient eventually received chelation therapy and made a full recovery.More
targeted history takingcould have assisted in making an earlier diagnosis.
References
Khan Y, Tisman G. Pica in iron deficiency: a case series. Journal of Medicine Case Reports. 2010; 4: 86.
Daley GM, Pretorius CJ, Ungerer JP. Lead Toxicity: an Australian Perspective. The Clinical Biochemist Reviews. 2018; 39: 61-98.
https://www.labtestsonline.org.au/learning/test-index/ zpp
Rosen JF, Markowtiz ME, Bijur PE, et al. Sequential measurements of bone lead content by L X-ray fluorescence in CaNa2EDTA-treated lead-toxic children. Environmental health perspectives. 1991; 91: 57-62.
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