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

Autor:	Kamzan AD; Mattel Children's Hospital and University of California, Los Angeles, Los Angeles, California akamzan@mednet.ucla.edu., Newcomer CA; Mattel Children's Hospital and University of California, Los Angeles, Los Angeles, California., Wozniak LJ; Mattel Children's Hospital and University of California, Los Angeles, Los Angeles, California., Federman NC; Mattel Children's Hospital and University of California, Los Angeles, Los Angeles, California., Kim LS; Mattel Children's Hospital and University of California, Los Angeles, Los Angeles, California.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2020 Mar; Vol. 145 (3). Date of Electronic Publication: 2020 Feb 20.
DOI:	10.1542/peds.2019-0391
Abstrakt:	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. Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. (Copyright © 2020 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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