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Differential Diagnosis and Treatment of Anemia in Children

Korean Journal of Pediatrics 2005;48(2):121-125.
Published online February 15, 2005.
Differential Diagnosis and Treatment of Anemia in Children
Young Tak Lim
Department of Pediatrics, Pusan National University College of Medicine, Pusan Korea
소아 빈혈의 감별진단 및 치료
부산대학교 의과대학 소아과학교실
Young Tak Lim, Email: limyt@pusan.ac.kr
Anemia can be defined as a reduction in blood hemoglobin concentration or red cell mass relative to age matched normal values. Clinical presentation may range from obviously pale and lethargy to an incidental finding during screening of an otherwise well appearing child. The differential diagnosis of anemia in each instance is broad with numerous possible etiologies. A careful history and physical examination as well as complete blood count, peripheral blood smear and additional laboratory tests are necessary in defining underlying cause of the anemia and guide in further treatment plans. In addition, Iron deficiency anemia and anemia of inflammation are common causes of mild to moderate anemia in children, but most pediatricians have some confusions to differentiate these two entities.
Key Words: Anemia , Differential diagnosis , Iron deficiency anemia , Anemia of inflammation

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