Thrombocytopenia after Iron Dextran Administration in a Patient with Severe Iron Deficiency Anemia
Authors: Ronald S. Go, Luis F. Porrata, Timothy G. Call
Journal: Annals of Internal Medicine (2000)

Letters6 June 2000Thrombocytopenia after Iron Dextran Administration in a Patient with Severe Iron Deficiency AnemiaRonald S. Go, MD, Luis F. Porrata, MD, and Timothy G. Call, MDRonald S. Go, MDMayo Clinic; Rochester, MN 55905 (Go)Mayo Clinic; Rochester, MN 55905 (Porrata)Mayo Clinic; Rochester, MN 55905 (Call)Search for more papers by this author, Luis F. Porrata, MDMayo Clinic; Rochester, MN 55905 (Go)Mayo Clinic; Rochester, MN 55905 (Porrata)Mayo Clinic; Rochester, MN 55905 (Call)Search for more papers by this author, and Timothy G. Call, MDMayo Clinic; Rochester, MN 55905 (Go)Mayo Clinic; Rochester, MN 55905 (Porrata)Mayo Clinic; Rochester, MN 55905 (Call)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-132-11-200006060-00025 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:A 30-year-old woman was hospitalized because of progressive fatigue. The physical examination was significant for pallor and a flow murmur. Eight years before presentation, she had undergone gastroplasty for obesity. Iron deficiency anemia secondary to malabsorption was diagnosed 1 year before presentation, when her hemoglobin level was 8 mg/dL. The patient was prescribed iron tablets but discontinued using them because of gastric intolerance. She was then lost to follow-up until the hospitalization described here.Laboratory tests revealed a hemoglobin level of 3.1 g/dL, a mean cell volume of 77 fL, a reticulocyte count of 2.13%, a platelet ...References1. Knizley H, Noyes WD. Iron deficiency anemia, papilledema, thrombocytosis, and transient hemiparesis. Arch Intern Med. 1972;129:483-6. CrossrefMedlineGoogle Scholar2. Soff GA, Levin J. Thrombocytopenia associated with repletion of iron in iron-deficiency anemia. Am J Med Sci. 1988;295:35-9. CrossrefMedlineGoogle Scholar3. Loo M, Beguin Y. The effect of recombinant human erythropoietin on platelet counts is strongly modulated by the adequacy of iron supply. Blood. 1999;93:3286-93. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Mayo Clinic; Rochester, MN 55905 (Go)Mayo Clinic; Rochester, MN 55905 (Porrata)Mayo Clinic; Rochester, MN 55905 (Call) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThrombocytopenia in severe iron deficiency anemia in childrenIron-Induced Thrombocytopenia: A Mini-Review of the Literature and Suggested MechanismsIron saltsPancytopenia After Packed Red Blood Cell Transfusion for Severe Iron Deficiency Anemia in a ToddlerThrombocytopenia associated with dialysis treatmentsThrombopénie ferriprive : un diagnostic différentiel rare du purpura thrombopénique auto-immunErythropoiesis-stimulating agent treatment with full anemia correction: a new perspectiveEditorial Focus: Thrombosis with Erythropoietic Stimulating Agents-Does Iron-Deficient Erythropoiesis Play a Role?Pancytopenia due to iron deficiency worsened by iron infusion: a case reportIron saltsMetalsIron dextran 6 June 2000Volume 132, Issue 11Page: 925KeywordsDextranErythropoietinHemoglobinIron deficiency anemiaLaboratory testsObesityPlateletsReticulocytesStem cellsThrombocytosis Issue Published: 6 June 2000 Copyright & PermissionsCopyright © 2000 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...