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Archives de pédiatrie
Volume 20, n° 4
pages 395-397 (avril 2013)
Doi : 10.1016/j.arcped.2013.01.018
Received : 9 September 2012 ;  accepted : 22 January 2013
Anémie ferriprive de l’adolescent liée à une infection à Helicobacter pylori , à propos d’un cas
Helicobacter pylori infection, a classic but often unrecognized cause of iron deficiency anemia in teenagers
 

R. Duclaux-Loras , A. Lachaux
Inserm U851, IFR-128, service de gastro-entérologie, hépatologie et nutrition pédiatrique, faculté de médecine de Lyon Est, université Lyon 1, hôpital femme-mère-enfant, CHU de Lyon, hospices civils de Lyon, 59, boulevard Pinel, 69677 Bron, France 

Auteur correspondant.
Résumé

Nous rapportons l’observation d’un adolescent atteint d’une anémie ferriprive liée à une infection à Helicobacter pylori . L’anémie ferriprive est fréquente chez les nourrissons et les enfants en période pubertaire. La gastrite à H. pylori en est une cause fréquente mais souvent méconnue et réfractaire au traitement substitutif. Le diagnostic avait été évoqué devant le caractère récidivant de l’anémie et confirmé par endoscopie. Le traitement de l’infection à H. pylori , associé à une supplémentation martiale, avait pu corriger définitivement l’anémie ferriprive.

The full text of this article is available in PDF format.
Summary

We report a case of a 15-year-old teenager who presented with iron deficiency anemia due to Helicobacter pylori infection. Iron deficiency is frequent in infants and during puberty. H. pylori gastritis is a frequent but underdiagnosed cause of refractory anemia. In the case reported herein, the recurrent character of the patient’s anemia raised this diagnosis, which was confirmed by endoscopy. Treatment of the H. pylori infection, associated with iron supplementation, successfully corrected the anemia.

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