dr Nita Radhakrishnan
Pediatric Hemato-oncologist

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Anemia is defined as reduction in hemoglobin or hematocrit lower than the age adjusted reference range for children. According to recent data, more than 50% of children in rural and urban India continue to be anemic due to iron, Vitamin B12, folate deficiency or a combination. The following are at high risk of iron deficiency: - premature and low birth weight babies; infants on cow milk, inappropriate complementary feeding, babies fed mainly on bottle, fussy eaters and adolescent girls. In clinical practice, it is desirable to start iron prophylaxis in most children. Pallor on clinical examination(conjunctiva, palms), in the absence of any significant hepatosplenomegaly would point towards nutritional anemia. Routine evaluation would require a hemoglobin level and peripheral smear or MCV to look for microcytosis.

Posted On: 23/04/2018

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