Iron Deficiency Anemia in Adult Onset Still's Disease
Author Information
Author(s): Sheetal Patel, Seyed Monemian, Ayesha Khalid, Harvey Dosik
Primary Institution: New York Methodist Hospital
Hypothesis
Can extreme hyperferritinemia in adult onset Still's disease mask the diagnosis of iron deficiency anemia?
Conclusion
The study highlights that iron deficiency anemia can coexist with extreme hyperferritinemia in adult onset Still's disease, complicating diagnosis.
Supporting Evidence
- The patient had a serum ferritin level of 26,387 μg/L despite having iron deficiency.
- Her iron deficiency anemia was only recognized after her Still's disease was treated.
- The study suggests that high ferritin levels can mask the presence of iron deficiency anemia.
Takeaway
Sometimes, even if a blood test shows a lot of iron, a person can still be low on iron. This study shows that in one woman with a disease, doctors missed her low iron because her test looked normal.
Methodology
Case report detailing the clinical presentation, laboratory findings, and treatment of a patient with adult onset Still's disease and iron deficiency anemia.
Limitations
The findings are based on a single case report, limiting generalizability.
Participant Demographics
A 38-year-old Haitian woman.
Digital Object Identifier (DOI)
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