Iron overload in anaemia with underlying haemoglobin constant spring in an antenatal mother in primary care

This is the case of a gravida 3 para 1 woman in her late 20s with underlying haemoglobin constant spring who visited a healthcare clinic for an antenatal check-up. Towards the end of her second trimester, she experienced lethargy. During her antenatal booking, she was diagnosed with mild asymptomati...

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Main Authors: Thew, Hui Zhu, Ng, Chee Han, Loo, Cheng Yee
Format: Article
Published: BMJ 2024
Online Access:http://psasir.upm.edu.my/id/eprint/106096/
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author Thew, Hui Zhu
Ng, Chee Han
Loo, Cheng Yee
author_facet Thew, Hui Zhu
Ng, Chee Han
Loo, Cheng Yee
author_sort Thew, Hui Zhu
building UPM Institutional Repository
collection Online Access
description This is the case of a gravida 3 para 1 woman in her late 20s with underlying haemoglobin constant spring who visited a healthcare clinic for an antenatal check-up. Towards the end of her second trimester, she experienced lethargy. During her antenatal booking, she was diagnosed with mild asymptomatic anaemia, high serum ferritin, T saturation of 88 and abnormal liver function tests. She was referred to a hospital where an MRI scan revealed over 2 g of iron deposits in her liver, leading to a revised diagnosis of iron overload. Treatment included deferoxamine and expectant management throughout her antenatal period, and her delivery was uncomplicated. While iron deficiency anaemia is common in pregnancy, it is crucial not to overlook iron deposition and the distinction from acute fatty liver during pregnancy to prevent treatment delays.
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spelling upm-1060962024-11-18T02:12:57Z http://psasir.upm.edu.my/id/eprint/106096/ Iron overload in anaemia with underlying haemoglobin constant spring in an antenatal mother in primary care Thew, Hui Zhu Ng, Chee Han Loo, Cheng Yee This is the case of a gravida 3 para 1 woman in her late 20s with underlying haemoglobin constant spring who visited a healthcare clinic for an antenatal check-up. Towards the end of her second trimester, she experienced lethargy. During her antenatal booking, she was diagnosed with mild asymptomatic anaemia, high serum ferritin, T saturation of 88 and abnormal liver function tests. She was referred to a hospital where an MRI scan revealed over 2 g of iron deposits in her liver, leading to a revised diagnosis of iron overload. Treatment included deferoxamine and expectant management throughout her antenatal period, and her delivery was uncomplicated. While iron deficiency anaemia is common in pregnancy, it is crucial not to overlook iron deposition and the distinction from acute fatty liver during pregnancy to prevent treatment delays. BMJ 2024 Article PeerReviewed Thew, Hui Zhu and Ng, Chee Han and Loo, Cheng Yee (2024) Iron overload in anaemia with underlying haemoglobin constant spring in an antenatal mother in primary care. BMJ Case Reports, 17 (2). art. no. 258526. ISSN 1757-790X https://www.scopus.com/inward/record.uri?eid=2-s2.0-85185293684&url=10.1136%2fbcr-2023-258526&partnerID=40&md5=2ae67b755d0e05471efa1e623ec99be8 10.1136/bcr-2023-258526
spellingShingle Thew, Hui Zhu
Ng, Chee Han
Loo, Cheng Yee
Iron overload in anaemia with underlying haemoglobin constant spring in an antenatal mother in primary care
title Iron overload in anaemia with underlying haemoglobin constant spring in an antenatal mother in primary care
title_full Iron overload in anaemia with underlying haemoglobin constant spring in an antenatal mother in primary care
title_fullStr Iron overload in anaemia with underlying haemoglobin constant spring in an antenatal mother in primary care
title_full_unstemmed Iron overload in anaemia with underlying haemoglobin constant spring in an antenatal mother in primary care
title_short Iron overload in anaemia with underlying haemoglobin constant spring in an antenatal mother in primary care
title_sort iron overload in anaemia with underlying haemoglobin constant spring in an antenatal mother in primary care
url http://psasir.upm.edu.my/id/eprint/106096/
http://psasir.upm.edu.my/id/eprint/106096/
http://psasir.upm.edu.my/id/eprint/106096/