True about iron deficiency anemia in children ?
Correct Answer: Serum ferritin depletes first
Description: Ans. is 'c' i.e., Serum ferritin depletes firsto Iron is absorbed from proximal small intestine mainly from duodenum.o Cow milk has slightly more amount of iron than breast milk. However, bioavailability of iron of breast milk is much greater than cow milk.Clinical manifestations o Pallor is most impoant sign of iron deficiency. Infact WHO recommended the use of palmar pallor as screening measure for anemia.o Pagophagia, the desire to ingest unusual substances such as ice or di may be present.o In some children, the ingestion of lead containing substances may lead to concomitant plumbism & helminthic parasitic infection.o In severe anemia, irratibility and anorexia are prominent. Tachycardia and cardiac dilatation occur. Systolic murmur is often present.o Iron deficiency affects attention span, aleness and learning in both infant and adolescents.Laboratory findings o S. ferritin depletes firsto Next, serum iron level decreases, the iron binding capacity of serum (serum transferrin) increases, and percent saturation (transferrin saturation) is reduced.o RDW is increased in iron deficiency anemia.
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