anemia%20-%20iron-deficiency%20(pediatric)
ANEMIA - IRON-DEFICIENCY (PEDIATRIC)

Iron deficiency (ID) is the most common nutritional deficiency in children & reportedly 3x more common than iron-deficiency anemia, but does not always develop into anemia.

Neonates & children may have delayed growth & development; adolescents may show decrements of learning such as behavioral abnormalities.

Iron-deficiency anemia is the most advanced stage of iron deficiency resulted from a protracted imbalance between iron intake & demand.

Characterized by low hemoglobin & hematocrit levels, reduction or depletion of iron stores, low serum iron levels & decreased transferrin saturation.

Follow Up

  • There are no standard recommendations for follow up after starting iron therapy but patients who are in need of further medical attention may be referred to specialists
  • Referral is recommended if with disease progression or if with unresponsiveness to treatment
    • Obtain complete blood count (CBC) every 3 months for 1 year
    • Response to iron therapy is observed after weeks of treatment, should be asked to return for evaluation
    • Reassessment of treatment plan is advised if without favorable response
    • Consider referral to a hematologist for further investigation of the source of anemia
    • Consider referral to a gastroenterologist for treatment of underlying gastrointestinal lesions or suspected cancer and evaluation of gastrointestinal bleeding
  • Further follow-ups are not necessary if the patient is asymptomatic and the hematocrit level is normal
  • If hemoglobin and red blood cells (RBC) indices remain normal, one additional CBC should be obtained 12 months later
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
DOWNLOAD
Editor's Recommendations
Most Read Articles
09 Apr 2016
Among adolescents who have only received diphtheria, tetanus toxoids, acellular pertussis (DTaP) vaccines in childhood, tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine provides moderate protection against pertussis during the first year and then wanes rapidly thereafter.
Elaine Soliven, 17 Aug 2017
Probiotic supplementation during the first 6 months of life does not reduce the incidence of eczema or asthma later in childhood, according to the randomized controlled TIPS* study.
26 Jul 2007
Despite the prevalence of corticosteroid use in infants with bronchiolitis, data on its efficacy is insufficient. In this study, oral dexamethasone was compared with placebo in the treatment of bronchiolitis.