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Case Records of the Massachusetts General Hospital
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Volume 354:2047-2056 May 11, 2006 Number 19
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Case 14-2006 — A 25-Year-Old Woman with Anemia and Iron Overload
Eyal C. Attar, M.D., and Robert P. Hasserjian, M.D.

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Presentation of Case

A 25-year-old woman was seen in the hematology clinic at this hospital because of anemia and laboratory evidence of increased iron stores.

The patient had been admitted to another hospital one month earlier because of pain in the left lower abdominal quadrant that radiated to the back and was associated with headache and shortness of breath. Computed tomography (CT) of the abdomen and pelvis showed calculi in the left kidney and fat stranding along the left iliopsoas muscle. Laboratory studies revealed a normochromic, normocytic anemia; the serum iron level was 213 µg per deciliter (38.1 µmol per liter); total iron-binding . . . [Full Text of this Article]

Differential Diagnosis

Pathological Discussion

Differential Diagnosis

Diamond–Blackfan Anemia

beta-Thalassemia

Iron Overload

Anatomical Diagnoses


Source Information

From the Center for Leukemia (E.C.A.) and the Department of Pathology (R.P.H.), Massachusetts General Hospital; and the Departments of Medicine (E.C.A.) and Pathology (R.P.H.), Harvard Medical School — both in Boston.




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