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Complexities in Recognizing and Treating Iron Deficiency Anemia
Arch Pediatr Adolesc Med. 2001;155:332-333.
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IN THE not-too-distant past, it was taught that the 3 most common causes
of hypochromic microcytic anemia in childhood were all forms of iron deficiency.
Although this may still be true, in actual practice there are a number of
confounding variables (eg, a declining prevalence of iron deficiency anemia
[IDA] in the United States, imperfect screening tests that rarely include
red blood cell indices, and confusion about what hemoglobin [Hb] level should
be used to identify anemia, especially in black infants).
In this issue of the ARCHIVES, Bogen et al1
report on an attempt to screen for IDA using Hb levels as determined by the
HemoCue (Drew Medical, Beaverton, Ontario) method followed by a therapeutic
trial of iron. The study was conducted in an inner-city pediatric resident
continuity clinic. The results are instructive and challenge our standard
dogma from several perspectives. First, very few patients (7% in the iron-treated
group . . . [Full Text of this Article] INFERENCES
STOP PRESCRIBING LOW-IRON FORMULA
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ABSTRACT
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