Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pica and refractory iron deficiency anaemia: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Pica and refractory iron deficiency anaemia a case report Christophe von Garnier 1 2 Holger Stunitz3 Michael Decker4 Edouard Battegay1 and Andreas Zeller1 Address 1Medical Outpatient Department University Hospital Basel Petersgraben 4031 Basel Switzerland 2Respiratory Medicine University Hospital Bern 3010 Bern Switzerland 3Department of Geosciences University of Basel Bernouillistrasse 4056 Basel Switzerland and 4Division of Haematology University Hospital of Basel Petersgraben 4031 Basel Switzerland Email Christophe von Garnier - Holger Stunitz - Michael Decker - DeckerM@ Edouard Battegay - Andreas Zeller - zellers@ Corresponding author Published 6 October 2008 Received 18 April 2008 Journal of Medical Case Reports 2008 2 324 doi 1752-1947-2-324 Accepted 6 October 2008 This article is available from http content 2 1 324 2008 von Garnier et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract__ Introduction Iron deficiency is the most common cause of anaemia worldwide. Pica the ingestion of substances that are inappropriate for consumption is associated with iron deficiency and may be under-diagnosed. Case presentation A 34-year-old woman presented with iron deficiency anaemia refractory to treatment for more than a decade. The clinical presentation endoscopic findings and laboratory investigations were consistent with pica. Subsequent geophysical analysis confirmed that the ingested material was kaolin a negatively charged silicate. .
