system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A family who recently moved from Nebraska to Texas visits the pediatrician. They have a 3-year-old child that had been developing normally before this change in location. The child became lethargic, fatigued, pale, and constipated 3 months after moving to the new house. Also, the blood smear of the patient demonstrates the finding of sideroblasts. Analyze the scheme presented below. Which of the following enzymes labeled as no. 1 is impaired in this patient and causing his symptoms?
assistant
Ferrochelatase