Abstract

Iron deficiency anemia is the most common cause of anemia in children. In Poland, anemia may occur in about 22% of children. Paleness of the skin is a rather uncertain symptom due to differences in skin pigmentation, mucosal color should be assessed by physical examination. The first laboratory check-up should be done around 6 months of age. Ferritin levels should always be evaluated with CRP because ferritin is an acute phase protein. The greatest need for iron in a child appears around 4-5 months of age. Causes of anemia that cannot be treated with iron: celiac disease, lambliosis, Crohn’s disease, lead poisoning, anemia of chronic diseases (initial stage), thalassemia. After starting iron treatment, you should always evaluate the effects after 4 weeks and deepen the diagnostics if necessary.

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