Plummer Vinson Syndrome in a 6 Year Old Boy

The investigations showed hemoglobin level of 8.7g/dl (microcytic hypochromic), total white blood cell of 13300 cells/ cum and a platelet count of 5.1 lakh/cumm. The work up for anemia revealed very low serum ferritin levels (4.72 ng/ml), high total iron binding capacity and low transferin saturation, consistent with iron deficiency anemia. Stool routine examination showed ova of Ancylostoma duodenalis. Other biochemical parameters were within normal limits. The esophagogastroscopy showed a web in the cervical esophagus (Figure 3). The web was ruptured with the scope afterwhich, the endoscope could be passed to the distal esophagus. Stomach as well as first and second part of duodenum appeared normal except for pale mucosa. He was started on albendazole and oral iron therapy with elemental iron 6 mg/kg daily. When reviewed after three months his general condition had improved and the repeat hemoglobin was 11.2g/dl. Volume 9 Issue 1 2018