Erika Friehling, MD, Assistant Professor of Pediatrics, Children's Hospital of Pittsburgh of UPMC

A 10-year-old previously healthy girl presents to hematology clinic because of persistent anemia. Her primary care physician performed routine blood work, which showed a hemoglobin of 8.5 g/dl. Iron supplementation was prescribed at a dose of 5 mg elemental iron/kg/day, and she was compliant with taking the medication. Repeat blood work done 2 months later showed worsening anemia, prompting a hematology evaluation.

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