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The Mechanism and Jreatment of Iron-Deficiency Anemia rnemia
ALEXANDER R. STEVENS, Jr., M.D.
AMA Arch Intern Med. 1956;98(5):550-554.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Iron-deficiency anemia occurs at all ages, but its pathogenesis is different in childhood and adult life. Excretion of iron is negligible. In the growing child, the needs of an expanding red cell mass require appreciable absorption of dietary iron, and the anemic child will usually be found to have a diet insufficient in iron-containing foods. In adult life, a constant amount of iron is present in the red cell mass, and an additional supply, available for hemoglobin production if needed, is stored in the tissues. Once iron stores are accrued, the adult is virtually independent of dietary iron, and iron deficiency develops only after chronic blood loss.
Pathogenesis
Iron balance during the first year is diagramed in Figure 1. An average newborn infant has a blood volume of 250 ml., of which 150 ml. represents red cells.1 In the first year, the blood volume increases to 750 ml., and
. . . [Full Text PDF of this Article]
Author Affiliations
Seattle
From the Department of Medicine, Clinical Instructor in Medicine, University of Washington School of Medicine.
Footnotes
Submitted for publication July 18, 1956.
Read in the Symposium on Hematology of the Joint Meeting of the Section on Experimental Medicine and Therapeutics and the Section on Internal Medicine at the 105th Annual Meeting of the American Medical Association, Chicago, June 14, 1956.
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