Iron Deficiency
Iron is essential in the production of red blood cells (RBCs), the oxygen-carrying
cells in the blood. Therefore, iron deficiency results in anemia, inadequate oxygen in the
tissues due to RBC deficiency (see Anemia).
Iron deficiency is caused by dietary insufficiency or by lack of absorption of iron
from the digestive tract. Dietary iron insuffiency is relatively common, affecting 10-30%
of U. S. adults. Malabsorption of iron from the digestive tract may be caused by diarrhea,
gastrointestinal surgery, blood loss, or blood disease. Iron deficiency is especially
common in pregnant and nursing women, infants, and adolescents.
Symptoms of iron deficiency include "pica," the desire to eat non-food items
such as ice or dirt, and symptoms of anemia such as shortness of breath, dizziness,
headache, cracking in mouth corners, smooth tongue, burning or pricking of the skin, and
neuralgias (pain). Iron deficiency may also be a cause of thrombocytosis.
Iron deficiency can be diagnosed by patient history, physical examination for symptoms,
and laboratory testing. Treatment includes
the taking of iron replacements and ascorbic acid (vitamin C), which aids in iron
absorption.