Bloodletting as Medical Child Abuse Revealed by Lack of Iron Accumulation Despite Multiple Erythrocyte Transfusions

Henrik Hasle; Lise Frost; Klaus Birkelund Johansen; Gitte Hesthaven Jørgensen

doi:10.1002/pbc.31612

Bloodletting as Medical Child Abuse Revealed by Lack of Iron Accumulation Despite Multiple Erythrocyte Transfusions

Henrik Hasle^*, Lise Frost, Klaus Birkelund Johansen, Gitte Hesthaven Jørgensen

^*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

Abstract

The central venous line was used for feeding an infant with failure to thrive. He later developed unexplained severe transfusion-dependent anemia. Ferritin remained low despite more than 100 transfusions. The medical arguments mainly based upon iron physiology provided strong suspicion for intended bloodletting, which was documented by covert video. The mother was very active on social media lacking behavioral signs of Munchhausen by proxy during hospital contacts. Despite clear medical evidence of medical child abuse, the diagnosis was delayed by several years.

Originalsprog	Engelsk
Artikelnummer	e31612
Tidsskrift	Pediatric Blood and Cancer
Vol/bind	72
Nummer	5
ISSN	1545-5009
DOI	https://doi.org/10.1002/pbc.31612
Status	Udgivet - maj 2025

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10.1002/pbc.31612Licens: CC BY-NC-ND

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abstract = "The central venous line was used for feeding an infant with failure to thrive. He later developed unexplained severe transfusion-dependent anemia. Ferritin remained low despite more than 100 transfusions. The medical arguments mainly based upon iron physiology provided strong suspicion for intended bloodletting, which was documented by covert video. The mother was very active on social media lacking behavioral signs of Munchhausen by proxy during hospital contacts. Despite clear medical evidence of medical child abuse, the diagnosis was delayed by several years.",

keywords = "anemia, anemias, transfusion medicine",

author = "Henrik Hasle and Lise Frost and Johansen, {Klaus Birkelund} and J{\o}rgensen, {Gitte Hesthaven}",

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Bloodletting as Medical Child Abuse Revealed by Lack of Iron Accumulation Despite Multiple Erythrocyte Transfusions. / Hasle, Henrik ; Frost, Lise; Johansen, Klaus Birkelund et al.
I: Pediatric Blood and Cancer, Bind 72, Nr. 5, e31612, 05.2025.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

TY - JOUR

T1 - Bloodletting as Medical Child Abuse Revealed by Lack of Iron Accumulation Despite Multiple Erythrocyte Transfusions

AU - Hasle, Henrik

AU - Frost, Lise

AU - Johansen, Klaus Birkelund

AU - Jørgensen, Gitte Hesthaven

PY - 2025/5

Y1 - 2025/5

N2 - The central venous line was used for feeding an infant with failure to thrive. He later developed unexplained severe transfusion-dependent anemia. Ferritin remained low despite more than 100 transfusions. The medical arguments mainly based upon iron physiology provided strong suspicion for intended bloodletting, which was documented by covert video. The mother was very active on social media lacking behavioral signs of Munchhausen by proxy during hospital contacts. Despite clear medical evidence of medical child abuse, the diagnosis was delayed by several years.

AB - The central venous line was used for feeding an infant with failure to thrive. He later developed unexplained severe transfusion-dependent anemia. Ferritin remained low despite more than 100 transfusions. The medical arguments mainly based upon iron physiology provided strong suspicion for intended bloodletting, which was documented by covert video. The mother was very active on social media lacking behavioral signs of Munchhausen by proxy during hospital contacts. Despite clear medical evidence of medical child abuse, the diagnosis was delayed by several years.

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KW - anemias

KW - transfusion medicine

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U2 - 10.1002/pbc.31612

DO - 10.1002/pbc.31612

M3 - Journal article

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SN - 1545-5009

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JO - Pediatric Blood and Cancer

JF - Pediatric Blood and Cancer

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ER -

Bloodletting as Medical Child Abuse Revealed by Lack of Iron Accumulation Despite Multiple Erythrocyte Transfusions

Abstract

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