Çocuk Sağlığı ve Hastalıkları Dergisi 2010 , Vol 53 , Num 2
Hereditary spherocytosis with iatrogenic acute iron intoxication
Zeynep Canan Özdemir1, Fatih Saraçoğlu 2, Mehmet Kılıç2, Ahmet Koç3
Harran Üniversitesi Tıp Fakültesi 1Pediatri Uzmanı, 2Pediatri Araştırma Görevlisi, 3Pediatri Profesörü Iron intoxication typically occurs in children who accidentally ingest iron pills as candy, and it can be lethal. Iron intoxication due to parenteral iron in the childhood period has not been repoıted previously. in this article, we report a 16-year-old boy who presented symptoms indicating iron intoxication after one-month parenteral iron administration. The total dose was 1500 mg elemental iron. He was admitted following 15 days of pallor, headache, vveakness, and nausea. Laboratory investigations revealed hemolytic anemia, elevation in hepatic enzymes, and highly elevated serum iron and ferritin levels. The patient was diagnosed as iron intoxication, and treatment with intravenous deferoxamine was started. Anahtar Kelimeler : parenteral demir, demir zehirlenmesi, kalıtsal sferositoz.
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