My daughter is 5 month old, her hemoglobin drops drastically.. after transfusion within a week it goes down to 7.1 or lower sometime. they did all kind of test to see any kind of anemia but Dr. saying they dont have answer why her hemoglobin is dropping...
It's very important to differentiate this anemia from any type of hemolytic anemia, which means the red blood cells being destroyed, in simple words the causes of profound anemia to this child are few : either a profound destruction : which causes increase bilirubin along with reticulocyte count (immature red blood cells, positive direct Combs test) or the most likely here is the inability of the bone marrow to produce red blood cells either due to infection (such as Arbovirus b19) which causes a disease called (red cell Aphasia) in which the number of RBCS are very few.OR what is caked transient erythroblastopenia of childhood, which causes the red cells to markedly decrease in number (pure red cell Aphasia) bone marrow biopsy is sometimes needed to exclude other causes, but usually the transient erythroblastopenia of childhood requires one blood transfusion or 2 at max and then the child improves, keeping in mind it's the most common cause of pure red cell Aphasia in child Chat Doctor. 