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[Hypochromic hyposideremic anemia as the first symptom of gastroesophageal reflux]
F Massolo1, L Laudizi, N Sturloni
1Clinica Pediatrica della Università di Modena, Italia.
La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|September 1, 1989
Insights
Iron deficiency anemia in infants can be an early sign of undiagnosed gastroesophageal reflux. Diagnostic tests confirmed this link, highlighting the need for thorough evaluation.
Area of Science:
- Pediatrics
- Gastroenterology
- Hematology
Background:
- Gastroesophageal reflux (GER) is common in infants, but its presentation can be varied.
- Iron deficiency anemia (IDA) is a significant concern in infant health.
- Early diagnosis of GER is crucial to prevent complications.
Observation:
- A five-month-old infant presented with symptoms suggestive of iron deficiency anemia.
- Initial laboratory tests ruled out other hematological disorders.
- Clinical suspicion of gastroesophageal reflux was investigated.
Findings:
- Radiological examinations provided evidence supporting gastroesophageal reflux.
- Oesophageal pH monitoring confirmed the diagnosis of gastroesophageal reflux.
- The infant's iron deficiency anemia was attributed to undiagnosed GER.
Implications:
- This case highlights IDA as a potential early, albeit uncommon, symptom of GER in infants.
- Highlights the importance of considering GER in the differential diagnosis of IDA in infants.
- Emphasizes the utility of radiological exams and pH monitoring in diagnosing GER.
Abstract:
In a five months infant is described by authors iron deficiency anaemia as early symptom of gastroesophageal reflux undiagnosed previously. Laboratory evaluation excluded any haematological pathology; thereafter clinical suspicion was confirmed by radiological exams and oesophageal PH-monitoring.