RT Book, Section
A1 Powers, Jacquelyn M.
A1 Heeney, Matthew M.
A2 Kline, Mark W.
SR Print(0)
ID 1182909625
T1 Anemia
T2 Rudolph's Pediatrics, 23e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259588594
LK accesspediatrics.mhmedical.com/content.aspx?aid=1182909625
RD 2024/04/24
AB Anemia  is  defined  as  a  hemoglobin  concentration  or  hematocrit  less  than  normal  for  a  specific  age  and  gender.  Both  age  and  gender  are  essential  considerations  when  making  a  diagnosis  of  anemia,  as  is  the  fact  that  some  laboratories  use  only  adult  normal  range  values  and  will  erroneously  report  normal  pediatric  levels  of  hemoglobin  as  low.  Using  a  definition  of  anemia  as  2  standard  deviations  below  the  mean  results  in  2.5%  of  children  meeting  the  criteria  for  anemia.  Children  with  such  “statistical  anemia”  should  continue  to  follow  along  the  same  hembogloin  percentile  for  age  over  time;  but  must  also  be  confirmed  as  healthy  and  “normal”  by  ruling  out  other  etiologies  for  anemia.  Age-related  normal  means  and  ranges  for  hemoglobin,  hematocrit,  and  mean  corpuscular  volume  (MCV)  are  shown  elsewhere  (Table  425-1).