Case Study: Coexistent Vitamin D and Iron Deficiency in a Child


Iron deficiency is the most common nutritional deficiency worldwide, and vitamin D deficiency is a major global health issue. We present here the case of an 11-year-old boy with coexistent iron and vitamin D deficiency manifested as tiredness, leg cramps and a lack of visible weight gain over the last year. Laboratory tests revealed iron deficiency anaemia. Treatment for three months with oral iron tablets showed improvement in serum iron and vitamin D levels, although hemoglobin levels were still unchanged.


Deficiency of iron and vitamin D in children may have long-lasting effects, even if the child is clinically asymptomatic. Documentary evidence is available of vitamin D deficiency in sickle cell anaemia. However, our patient had a normal hemoglobin HPLC report, thus excluding abnormal hemoglobins.

Case Presentation

An 11-year-old boy was brought to the pediatrician with complaints of tiredness, frequent leg cramps, white marks on nails and a lack of visible weight gain. On examination, the boy weighed 37 kg, and he was alert and jovial. The child was the only child of his parents and ...

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