Child of 6 weeks with Hemoglobin of 10 gm% pale on examination, diagnosis is ?: (A) Physiological anemia, (B) Pathological anemia, (C) Thalassemia, (D) Iron dificiency anemia
Answer is A. Ans. is 'a' i.e., Physiological anemia Physiologic Anemia of Infancy Hemoglobin drops to low point at age 6 to 8 weeks Erythropoietin nadir drops Hemoglobin Term Infants: Hemoglobin drops to 9-11 g/dl Preterm Infants: Hemoglobin drops to 7-9 g/dl No work-up or treatment unless Hemoglobin lower than expected Other point ? Hemoglobin g/dl cut off- . (WHO/UNU-1996) 6mo-5yr <11.0; 5-11 yr - 11.5; 12-13 yr -12.0g/d1; Men - 13.0 Women Non-pregnant - 12.0;Pregnant - 11.0