title: [The Iron-man: a case-report].
abstract: The most common cause of microcytic anemia is iron deficiency. We report a 29 year old man with history of dyspnea, fatigue and severe microcytic anemia despite iron therapy for 3 years. Blood transfusions elevated the hemoglobin levels temporarily, but iv iron did not. Bone marrow showed sideroblastic anemia. The anemia resolved with pyridoxine treatment but severe iron overload necessitated multiple phlebotomies. Today the patient is asymptomatic on pyridoxine with a normal hemoglobin level.
authors.affiliation: Læknadeild Háskóla Íslands.
authors.forename: Margrét Jóna
authors.initials: MJ
authors.lastname: Einarsdóttir
authors.forename: Sigrún Edda
authors.initials: SE
authors.lastname: Reykdal
authors.forename: Brynjar
authors.initials: B
authors.lastname: Vidarsson
mesh_terms: D000328:Adult; D000756:Anemia, Sideroblastic / Q000097:blood / Q000175:diagnosis* / Q000628:therapy; D001803:Blood Transfusion; D001856:Bone Marrow Examination; D006454:Hemoglobins / Q000378:metabolism*; D006801:Humans; D007501:Iron / Q000008:administration & dosage / Q000097:blood*; D000090463:Iron Deficiencies; D019190:Iron Overload / Q000097:blood / Q000209:etiology* / Q000628:therapy; D008297:Male; D018962:Phlebotomy; D011736:Pyridoxine / Q000627:therapeutic use; D016896:Treatment Outcome; D014803:Vitamin B Complex / Q000627:therapeutic use
chemical_list: D006454:Hemoglobins; D014803:Vitamin B Complex; D007501:Iron; D011736:Pyridoxine