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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does presence of acanthocytes be related to iron deficiency?

Hi, mday I answer you ouhealrth queries right now ? Please type your query here...my baby had a blood smear with a few acanthocytes. He was born at 36 weeks and small but has gained weight very well and is now 75th percentile. He is otherwise well but has mild persistant jaundice. His platelet count is 725 which is high. He is also being treated for iron and folate deficiency. Donthe acanthocytes always indicate some kind of disease or could it be related to his iron deficiency?
Thu, 7 Feb 2019
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Pediatrician 's  Response
Hi,

Acanthocyte is nothing but the abnormal shape of red blood cells. It can be seen in iron deficiency Anemia also, where because of less iron the red blood cells shape can get distorted.

The thing I'm worried about your child is persistent jaundice, which is not seen in iron deficiency Anemia. If your child is less than a month old, then I would wait and follow up. But if older, then I would advise you to get evaluated and keep a watch on the growth and development.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Nirubhan Bharathy, Pediatrician
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