Korean J Med.  2010 Oct;79(4):448-452.

A case of sideroblastic anemia caused by lead-containing herbal medication

Affiliations
  • 1Department of Internal Medicine, KonKuk University School of Medicine, Seoul, Korea. sykim@kuh.ac.kr
  • 2Department of Laboratory Medicine, KonKuk University School of Medicine, Seoul, Korea.

Abstract

Although lead intoxication is commonly mentioned as a cause of sideroblastic anemia, no well-documented case exists in the literature. We encountered a patient with sideroblastic anemia caused by lead-containing herbal medicine. A 34-year-old woman was admitted to our hospital with abdominal pain. She had taken herbal medicine for her general health. Anemia, hyperbilirubinemia, and elevated lactic dehydrogenase were found from the laboratory data. Bone marrow biopsy showed pathological ringed sideroblasts. Her serum level of lead was high and the lead content of the tablet was higher than permitted. We diagnosed her with sideroblastic anemia secondary to lead poisoning caused by herbal medicine. We stopped her from taking herbal medicine and she gradually recovered from anemia.

Keyword

Sideroblastic anemia; Lead; Herbal medicine

MeSH Terms

Abdominal Pain
Adult
Anemia
Anemia, Sideroblastic
Biopsy
Bone Marrow
Female
Herbal Medicine
Humans
Hyperbilirubinemia
Lead Poisoning
Oxidoreductases
Oxidoreductases
Full Text Links
  • KJM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr