Snapshot A 2-year-old girl is teething and chewing on objects found in the home. The parents state that for the past few days, their daughter has been fussy and at times appears lethargic and pale. They also noticed that she has been clutching her abdomen in pain and refusing to eat even her favorite foods. Laboratory testing reveals an elevated free erythrocyte protoporphyrin (FEP) level, along with the finding on peripheral blood smear seen in the image. Introduction Overview login to view 2 more bullets Epidemiology login to view 17 more bullets Pathophysiology login to view 8 more bullets Presentation Symptoms login to view 18 more bullets Physical exam login to view 4 more bullets Imaging Radiographs login to view 6 more bullets Studies Serum labs login to view 8 more bullets Histology login to view 3 more bullets Differential Diagnosis Iron deficiency anemia login to view 2 more bullets Treatment Lifestyle login to view 2 more bullets Medical login to view 11 more bullets Complications Developmental delay in children Lead encephalopathy login to view 2 more bullets