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J Pediatr. 2010 Feb;156(2):324-6.e1. doi: 10.1016/j.jpeds.2009.07.062.

Parenteral fish oil-associated burr cell anemia.

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  • 1Division of Pediatric Gastroenterology and Nutrition, Gastroenterology and Nutrition Section, University of Rochester, 601 Elmwood Ave., Box 667 Rochester, NY 14642, USA. husam_mallah@urmc.rochester.edu


We report the development of burr cell anemia in an infant with short bowel syndrome who received parenteral fish oil (Omegaven, Fresenius-Kabi, Graz, Austria) after development of total parenteral nutrition-associated liver disease. Parenteral fish oil was discontinued, and the burr cell anemia disappeared, suggesting that parenteral fish oil might be associated with hemolytic anemia.

Copyright 2010 Mosby, Inc. All rights reserved.

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