CHILDHOOD ANEMIAS


See also "Anemia" and "Hemoglobinopathies"

 Nl childhood HGb 10-11

Nl adolescent HCT about 38%

MCH, MCHC are calculated from other values

 
Clinical presentation:

Lab clues to dx:

  1. Coombs' test for autoimmune hemolytic anemia
  2. Basophilic stippling: precipitation of RNA; seen in Pb poisoning
  3. Megaloblastic anemia (us. due to pernicious anemia or Ca chemotherapy); very bad in kids; interferes with nerve myelination
  4. Howell-Jolly body: basophilic granule; due to anatomic or functional asplenia