Iron Overload after Prolonged Intramuscular Iron Therapy

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Abstract
To the Editor: Despite the widespread use of iron, cases of secondary iron overload are exceptionally rare.1 , 2 We present a case of iron overload after the prolonged administration of intramuscular iron.A 63-year-old woman was found to have a raised serum iron level. In 1950 intramuscular administration of iron dextran had been initiated as treatment for an ill-defined anemia. She received 100 mg of elemental iron every two weeks for 20 years, a total of 52 g. All family members screened had normal serum ferritin levels. She denied alcohol abuse. Physical examination revealed subcutaneous lumps on her buttocks, with discoloration . . .

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