When Anemia Isn’t Just Anemia: Mucosal Clues and the Missed Diagnosis
Update: 2025-04-09
Description
A 14-year-old girl presents with fatigue and microcytic anemia, but her periods are normal. On physical exam, you find subtle pigmentation around her lips and inside her cheeks. What’s the connection?
In this Master Series episode, we guide you through the clinical reasoning behind a case that could easily be overlooked — until you connect the dots.
You’ll learn how to:
Recognize atypical presentations of iron deficiency anemia
Identify mucocutaneous findings that signal genetic syndromes
Decide when to escalate from iron therapy to full GI workup
Apply next-step logic for high-yield Step 2 CK cases
Think beyond the common causes and catch what others miss
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