Iron-deficiency anemia in children: from diagnosis to treatment
Journal of the Korean Medical Association
;
: 678-682, 2016.
Article
in Korean
| WPRIM
| ID: wpr-125606
ABSTRACT
Iron-deficiency anemia (IDA) is the most frequent hematologic and nutritional disorder in children. The risk factors associated with IDA in children are rapid growth with inadequate dietary iron, low birth weight, premature birth, perinatal bleeding, early cow's milk intake, and breastfeeding beyond 6 months without iron supplementation. Blood loss is also an important cause of IDA. Most children with IDA are asymptomatic and may go undiagnosed. The diagnosis of IDA is confirmed by microcytic hypochromic anemia and a low level of serum ferritin. Monitoring the response to iron supplementation is a reasonable intervention for a clinically stable child with mild anemia and inadequate iron intake. IDA must be differentiated from the anemia that arises from chronic disease and thalassemia. Oral iron is usually recommended as first-line therapy. Parenteral iron is indicated in cases of poor compliance or failure of oral iron, intestinal malabsorption, or chronic bleeding.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thalassemia
/
Breast Feeding
/
Infant, Low Birth Weight
/
Chronic Disease
/
Risk Factors
/
Compliance
/
Anemia, Iron-Deficiency
/
Iron, Dietary
/
Milk
/
Premature Birth
Type of study:
Diagnostic study
/
Etiology study
/
Risk factors
Limits:
Child
/
Humans
/
Infant, Newborn
Language:
Korean
Journal:
Journal of the Korean Medical Association
Year:
2016
Type:
Article
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