Journal: Drug Invention Today

Article Id: JPRS-P'Col-00004675
Title: A 2-year-old child presenting with anemia with nutritional deficiency
Category: Pharmacology
Section: Research Article
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    Introduction: Anemia is a common presentation in children but the differential diagnosis of iron deficiency and β-thalassemia remains a diagnostic challenge. Red blood cell (RBC) indices have been shown to perform weakly in such scenarios. One potential cause is breastfeeding, but the evidence for unusually prolonged exclusive breastfeeding (EBF) as a cause of iron deficiency anemia (IDA) in older (>2 years) toddlers is sparse and the association of breastfeeding with iron deficiency in this age group of older toddlers is not unequivocally established. In this case, we describe an unusual cause of nutritional IDA in the age group of 2–3 years. Case Report: We describe a 2-year-old boy who presented to our outpatient clinic with recurrent diarrhea and anemia. The patient was febrile (99.1°F) with pale skin and signs of mild dehydration. A reduced nutritional status with a weight of 11.5 kg between the 3rd and 10th percentile was noted. Nutritional evaluation revealed that the boy was still exclusively breastfed with more than 6 times breastfeeding per day. Iron supplementation ameliorated the anemia and reduced hypochromic RBCs. Conclusion: The case demonstrates that unusually prolonged (longer than 2 years) EBF is a potential cause of IDA in older toddlers. We discuss a simple combination of laboratory tests with ferritin and red cell distribution width that together with a nutritional evaluation provide a quick diagnosis and show that even at such an advanced stage of nutritional iron deficiency oral iron supplementation is an effective treatment.

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    Author(s) Name:

    Divya Murugesan*, R. Somasekar, A. P. Krithikha, S. Sundari

    Affiliation(s) Name:

    Department of Pediatrics, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India

    *Corresponding author: Divya Murugesan, Department of Pediatrics, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

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    Author:

    Divya Murugesan*, R. Somasekar, A. P. Krithikha, S. Sundari

    Title:A 2-year-old child presenting with anemia with nutritional deficiency
    Journal:Drug Invention Today
    Vol(issue):11 (December )
    Year:2019
    Page No: (3255-3258)
  • Experimental Methods Keywords

    Methodology:Case Report, Exclusive breastfeeding, Iron deficiency anemia, Red blood cell
    Research Materials:Iron deficiency anemia

Keywords

Exclusive breastfeeding Iron deficiency anemia Red blood cell

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