Author/Authors :
Gheibi ، Sh نويسنده Associate Professor of Pediatric Gastroenterology, Maternal and Childhood Obesity research Center, Urmia University of Medical Sciences, Shahid Motahari Hospital, Urmia, Iran. drgheibi@umsu.ac.ir , , Noroozi، M نويسنده Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran , , Hejazi، S نويسنده Department of Pediatric. Urmia University of Medical Sciences, Urmia, Iran , , Karamyyar، M نويسنده Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran , , Farrokh-Eslamlou، H نويسنده Urmia Reproductive Health Research Center, School of Public Health, Urmia University of Medical Sciences, Kashani Street, Urmia, Iran ,
Abstract :
Abstract Background Iron-deficiency anemia is a widespread public health problem with major consequences for human health especially, children. However, in a fraction of patients an underlying cause is never found during routine investigation. Recent studies have suggested an association between Helicobacter pylori (H. Pylori) infection and iron-deficiency anemia. Case presentation Here is reported four school aged children (two male, two female) with refractory severe iron-deficiency anemia associated H. Pylori gastritis. Mean age of the patients was 13.62 years old and they were admitted with chief complaints of abdominal, chest pain weakness, headache and respiratory distress. Mean hemoglobin level in patients was 6.2 g/dl with persistence to iron therapy. After the diagnosis and therapy of H. pylori infection, clinical complaints, hemoglobin level and iron profiles were being normal and they gained weight. Conclusion This study suggests screening of H. pylori infection and appropriate treatment in any case of refractory moderate to severe iron-deficiency anemia, especially with clinical manifestations of gastrointestinal tract in children.
