بررسي شيوع آنمي فقر آهن براساس معيارهاي آزمايشگاهي در كودكان مبتلا به اختلال رشد غيرارگانيك مراجعه كننده به كلينيك تخصصي اطفال بيمارستان امام خميني شهر ايلام

>Prevalnce of Iron Deficiency Based on Lab. Indexes in Children with None-organic Growth Referred to Imam Khomeini Hospital of Ilam

Introduction: The iron deficiency anemia is one of the most common anemias in children with poor diets. Appetite in infants with abnormal growth is more affected by iron deficieny anemia, aggrevating the anemia in such situations. Anemia can cause depletion of iron deposits and, as a result, the level of iron in serum will decrease. MCV, hemoglubin and the level of ferritin will also decrease. Materrials & Methods: This prospective analytical study was carried out on 195 children (86 males & 94 females) using Gomes method for analysis of weight, height and growth abrormealities. Data were collected using questionaires, physical examinations by physicians, laboratory tests for MCV, iron, Hb and level of ferritin in serum. Findings: 145(80.6%) out of all the 195 cases showed low levels of wasting, while 27 ones(15%) had moderate, and only 4.4% people were diagnosed with servere wasting. According to Hb level, 97 (67%) out of 145 were among patients with mild wasting, 20 (73%) out of 27 among children with moderate wasting, and 3 (75%) out of 4 amongst those with servere wasting showed iron deficiency anemia. Concerning ferritin level in serum, 123 (84.8%) out of 145 individuals with midwasting, 26 out of 27(96.3%) among those with moderate wasting, and finally 3(75%) out of 4 of those with servere wasting demonstrated a decrease, (P=71). The iron deficieny anemia using MCV index was detected in 40% of mild wasting infants and 48% of moderate wasting children and finally in 75% of those with servere wasting. Discussion & Conclusion: As the correlation between MCV levels and the anemia was statistically significant, this index is a better means for anemia assessment than other indexs such as fextin and Hb levels.