| A Study on Anemia of Acute Infectious Disease in Children. |
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Hae Won Lee, Young Mi Hong, Seung Joo Lee, Keun Lee |
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Department of Pediatrics, College of Medicine, Ewha Womans University, Seoul, Korea |
| 소아기 급성 감염시의 빈혈에 관한 연구 |
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이혜원, 홍영미, 이승주, 이근 |
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이화대학교 의과대학 소아과학교실 |
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Received: 16 August 1989 • Accepted: 23 October 1989 |
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| Abstract |
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The anemia of acute infectious disease has come to attention recently, since iron deficiency anemia
has decreased. We screened for anemia in children admitted to Ewha Womans University Hospital
due to acute infectious disease between January 1, 1986 and July 31, 1988, and studied the incidence
and characteristics of anemia in acute infectious diseases.
The result were as follows:
1) The incidence of anemia in acute infectious diseases was 5.8%. Acute infections such as
meningitis, urinary tract infection； and sepsis were related to high incidence of anemia.
2) Among them iron deficiency anemia was diagnosed in 2.2% by serum ferritin level below 10 ng/
ml, and the rest (3.6%) was diagnosed as acute infectious anemia.
3) Mean serum ferritin level in iron deficiency anemia was 5.1±3.2 ng/ml (p<0.05). Mean serum
ferritin level in acute infectious anemia was 172.7±254.0ng/ml, which was higher than that of
normal control, but not significant.
4) In children with high fever, elevated ESR, positive CRP and leukocytosis, the incidence of acute
infectious anemia was significantly higher (18.8%) than IDA. In children with none of above, the
incidence of acute infectious anemia was not significant.
5) In acute infectious anemia, the initial serum ferritin level was significantly lower in nonrecovery
group of anemia than that of recovery group. All IDA was recovered by iron therapy. |
| Key Words:
Anemia, Acute Infection, IDA |
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