Female age 5 diagnosed with normocytic anemia, what can cause this?

Female age 5 diagnosed with normocytic anemia. Ferritin and rediculocyte levels are normal. Hemoglobin is low and white blood cell count and platelets are high. Child is frequently tired and prone to illness. No known cause of bleeding, no rash, fussy eater, has alopecia areata and enlarged tonsils. What is the cause of her anemia?


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Dr Ahmed Fawzy
Member
Dr Ahmed Fawzy

In her age it is mainly congenital
But i need you to check her for thyroiditis (u said enlaged tonsils ) may be it is not tonsilitis , could be thyroiditis from an infection
If it is not then i am sorry to say it is congenital
Good Luck

Dr. Ayman Darrag
Member
Dr. Ayman Darrag

common childhood normocytic anemias are the result of acute bleeding, sickle cell anemia, red blood cell membrane disorders and current or recent infections..
With your daughter it is probably genetic or secondary to an infection.could be tonsillitis or thyroiditis..
Thanks.

Dr Mahaveer
Member
Dr Mahaveer

hi
this may be due to undernourishment.
the diet she eats needs to be iron rich.
bone marrow study will confirm and rule out any other cause of anemia.
consult a hematologist.
thanks

shw12
Member
shw12

HI
THIS SEEMS TO BE SOME SORT OF HEMATOLOGICAL CONGENITAL DISEASE.
LEUCOCYTOSIS IS OF CONCERN.
YOU SHOULD CONSULT A HEMATOLOGIST AT THE EARLIEST.
START ON IRON SUPPLEMENTS

mrsshalini14
Member
mrsshalini14

hello there
congenital cellular morphological changes can cause this.
a detailed bone marrow examination should be done.
start on hematinics and multivitamin supplements.

Dr Masr
Member
Dr Masr

I suspect early iron deficiency anemia , i recommend you to do. Serum iron, total iron-binding capacity (TIBC), and serum ferritin

High levels of WBCs due to tonsillitis, take the suitable antibiotics

High platelets .. have no explanation in the mean time but doing a follow up CBC afterva month would be useful.

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