WILLIAM O'BRIEN, M.D.; ROY M. ARKIN
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To the Editor: In reference to the article by Reynolds and associates, "Pagophagia and Iron Deficiency Anemia," (Ann. Intern. Med. 69: 435, 1968), we recently treated a 74-year-old lady in congestive heart failure whose laboratory values included the following: hematocrit of 17%; hemoglobin, 4.2 g/100 ml; serum iron, 35 µg/100 ml; total iron-binding capacity, 720 µg/100 ml.
In addition, this patient confided that in the 2 weeks before admission she had had an insatiable appetite for peanuts (salted or unsalted). After several transfusions and massive iron therapy this particular symptom abated.
We are curious as to whether this manifestation, which
O'BRIEN W, ARKIN RM. GOOBERPHAGIA AND ANEMIA. Ann Intern Med. ;70:232. doi: 10.7326/0003-4819-70-1-232_1
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Published: Ann Intern Med. 1969;70(1):232.
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