Factitious Anemia with Severe Iron Deficiency Caused by Self-venesection

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  • 自己瀉血により重篤な鉄欠乏性貧血をきたしたfactitious anemia

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Description

A 22-year-old unmarried female student of nurse school was admitted to our hospital because of hypochromic anemia and fever of unknown origin. She was diagnosed as having iron-deficiency anemia and was treated with iron, but progressive anemia recurred periodically. In particular, rapidly progressive anemia was observed after the patient stayed overnight, so we strongly suspected factitious anemia. A search of her locker in the sickroom and her room at home revealed many syringes, injection needles and a bottle of blood. Factitious anemia was diagnosed and she confessed to self blood-drawing. After a psychiatric consultation, anemia tended to to resolve gradually. However she did not go to the hospital after 6 months from her discharge. Physicians should consider factitious anemia in a patient with severe chronic hypochromic anemia who dose not respond to adequate iron therapy, paticularly in a patient with medical training.

Journal

  • Rinsho Ketsueki

    Rinsho Ketsueki 39 (3), 216-220, 1998

    The Japanese Society of Hematology

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