Treatment of iron-deficiency anemia complicated by scurvy and folic acid deficiency.
We present a case of a child with iron-deficiency anemia, folic acid deficiency, and scurvy. His anemia proved refractory to treatment with iron until he received both folic acid and vitamin C supplementation. This case illustrates the importance of the evaluation of ascorbic acid and folate status in treating iron-deficiency anemia initially refractory to iron supplementation, because multiple nutrient deficiencies may coexist.
Clark
N G
NG
Department of Medicine, Baystate Medical Center, Springfield, MA 01199.
Sheard
N F
NF
Kelleher
J F
JF
D000747:Anemia, Hypochromic / Q000150:complications / Q000188:drug therapy*; D001205:Ascorbic Acid / Q000008:administration & dosage / Q000494:pharmacology; D002648:Child; D005492:Folic Acid / Q000008:administration & dosage; D005494:Folic Acid Deficiency / Q000150:complications / Q000188:drug therapy*; D006801:Humans; D007501:Iron / Q000008:administration & dosage / Q000378:metabolism; D008297:Male; D012614:Scurvy / Q000150:complications / Q000188:drug therapy*
D005492:Folic Acid; D007501:Iron; D001205:Ascorbic Acid