Kristen Roberts, Pawankumar Sharma, Syed Imad Ali Shah.
Iron Deficiency Anemia Associated with Thrombocytopaenia in Pediatrics: Two Case Studies.
Pak Paed J Jun ;47(1):70-3.

Iron deficiency anemia (IDA) is the commonest cause of anemia in children. Worldwide, almost 50% of children under 5 years are anemic, and the incidence in this group is actually increasing. It is more common in Asian communities, and in infants and toddlers is predominantly a nutritional disorder (usually insufficient red meat or excessive cow`s milk consumption, high intake of fruit juice) and only rarely due to malabsorption or bleeding, however celiac disease should always be considered and screened for. Iron deficiency anemia is common and is usually associated with a normal or high platelet count. However, severe iron deficiency anemia can rarely be associated with thrombocytopenia. We present two cases of children with iron deficiency anemia associated with thrombocytopenia presenting to general pediatrics. One patient had a severe anemia and thrombocytopenia, complicated by epistaxis, and required red cell transfusion and specialist investigations, whereas the other improved with iron replacement alone.

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