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[Iron-deficiency anemia. Hematologist's viewpoint].

G Schaison, P Cramer, G Tobelem

    La Semaine Des Hopitaux : Organe Fonde Par L'Association D'Enseignement Medical Des Hopitaux De Paris
    |November 25, 1982
    PubMed
    Summary

    Pediatric iron deficiency anemia presents with specific symptoms like enlarged spleen and fever. Referral to a hematologist is crucial for ineffective therapies, relapses, or complex cases, ensuring accurate diagnosis and treatment.

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    Area of Science:

    • Pediatric Hematology
    • Nutritional Deficiencies

    Context:

    • Iron deficiency anemia is a common pediatric condition.
    • Specific clinical manifestations include enlarged spleen, fever, increased infection susceptibility, and thrombocytosis.
    • Referrals to hematologists are indicated for complex or refractory cases.

    Purpose:

    • To outline specific scenarios requiring hematologist consultation for pediatric iron deficiency anemia.
    • To differentiate iron deficiency from other hypochromic anemias like hemoglobinopathies.
    • To guide the investigation of challenging cases, including those with concurrent deficiencies or underlying conditions.

    Summary:

    • Enlarged spleen, fever, and thrombocytosis are key indicators of iron deficiency in children.
    • Hematologist referral is necessary when initial iron therapy fails, anemia relapses, or complex anemias (e.g., with vitamin deficiencies or hemoglobinopathies) are suspected.
    • Adolescent iron deficiency (chlorosis) often stems from increased needs and dietary factors, while other cases may require thorough investigation for gastrointestinal or hemostatic issues.

    Impact:

    • Improved diagnostic accuracy for pediatric iron deficiency anemia.
    • Optimized treatment strategies for complex and refractory cases.
    • Enhanced understanding of differential diagnoses in pediatric hypochromic anemias.

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