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Hypochromic microcytic red cells, Leukocytes normal, increased platelets

Gud pm im thereza from philippines pls help me i need pediatrician hematology to explain my 3yrs old son cbc result this is the result hypochomic microcytic red cells with note of fragmented cells. Target cells with basophilic stippling. Leukocytes appear normal. Lymphocytes predominant. No abnormal seen. Platelets increased Please correlate clinicaly. PBS picture may still beconsistent with a nutrinitional anemia but a concomittant thalassemia trait cannot entirely be ruled out. Pls i need answer becuase im so worried of my son conditions.. thanks and godbless
Asked On : Tue, 20 Mar 2012
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Pediatrician 's  Response
The picture is suggestive of Thalassemia but it can also be caused by iron deficiency anemia. You have not mentioned the hemoglobin level. It maybe necessary to estimate serum iron and iron binding capacity if there is any doubt. If there is family history of Thalassemia it is better to get it done. Otherwise child may be given iron and hemoglobin repeated after about two weeks.
Answered: Thu, 10 May 2012
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