PEDIATRICS Vol. 34 No. 1 July 1964, pp. 117-121
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PITFALLS IN THE DIAGNOSIS AND TREATMENT OF IRON DEFICIENCY ANEMIA IN PEDIATRICS

David H. Clement M.D.1

1 Department of Pediatrics, Yale University School of Medicine, and the Grace-New Haven Hospital

Errors in the diagnosis and treatment of iron-deficiency anemia involve several areas. In the history one may overlook anemia in the mother, loss of infant blood from the placental circuit or later as melena, as well as a diet high in milk and low in iron-rich foods.

In the physical examination pallor should not be estimated from facial color alone. In the laboratory a reticulocyte count should be determined before as well as during treatment.

Regarding treatment it is important to give enough iron (6 mg/kg/day) for long enough to replenish iron stores. An effective, oral preparation of ferrous iron alone in gradually increasing doses is preferred. Failure to respond suggests several possibilities discussed above.




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H. C. Faigel
Hematocrits in Suburban Adolescents: A Search for Anemia
Clinical Pediatrics, September 1, 1973; 12(9): 494 - 496.
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