Diagnostic Dilemma


Recently I came across 2 babies: one 2 yrs old and other 3yrs old with sever pallor. Both parents gave history of pica, history of prolong breast feeding with inadequate and improper weaning food. Parents of both children complained of very inadequate oral intake. On exam and on investigations, both the children were suffering from severe nutritional iron deficiency anemia. Table 1 gives their biochemical profile.
Serum Folic acid and Vitamin B12 were normal. As we know in case of iron def anemia early changes that we get are depletion of iron stores i.e serum ferritin is reduced. Next is reduced s.iron and then increased TIBC. Microcytic hypochromic changes occur after these changes. In above mentioned patients peripheral smear was showing microcytic hypochromic changes in RBCS but still s.ferritin, s.iron, TIBC were normal.

How can we explain this_?
Answer Discussion :
RBC count_?
mostly thalassemia trait_?
lead poisoning _?

10 years ago
Kishore Vrajananda
Beta thalassemia
10 years ago

View More Comments

Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0