A Case of a 15-Month-Old With Periorbital Edema and Severe Anemia.

Abstract:

:This is the case of a previously healthy 15-month-old girl who initially presented to her primary pediatrician with a 2-week history of intermittent periorbital edema. The edema had improved by the time of the visit, and a urine specimen was unable to be obtained in the clinic. A routine fingerstick demonstrated anemia to 8.8 mg/dL, so the patient was started on ferrous sulfate. She then returned to the emergency department 1 month later with severe periorbital edema and pallor but no other significant symptoms. On physical examination, she was tachycardic with striking periorbital edema and an otherwise normal physical examination. She was noted to have a severe microcytic anemia (hemoglobin of 3.9 mg/dL and mean corpuscular volume of 53.1 fL) and hypoalbuminemia (albumin of 1.9 g/dL and total protein of 3.3 g/dL). The remainder of her electrolytes and liver function test results were within normal limits. A urinalysis was sent, which was negative for protein. Our panel of experts reviews her case to determine a unifying diagnosis for both her severe anemia and her hypoalbuminemia.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Kamzan AD,Newcomer CA,Wozniak LJ,Federman NC,Kim LS

doi

10.1542/peds.2019-0391

subject

Has Abstract

pub_date

2020-03-01 00:00:00

issue

3

eissn

0031-4005

issn

1098-4275

pii

peds.2019-0391

journal_volume

145

pub_type

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