A 14 month old child presents to your clinic for follow up of lab results (available below).

The child was seen last week for a well child visit. On history, you learned the child has intermittent abdominal pain, and child has a history of diarrhea for the past 2 months. Diet history: child eats a wide variety of foods from all four food groups and consumes 16 ounces of milk and 8 ounces of juice per day. The child has not been immunized. The child stays at home with the mother.

On exam the child appears pale. Vital signs are normal. The child is currently at 25th percentile for weight and had been on the 50th percentile for weight over the last 11 months. 

 

 

 

 

Lab Results:

HGB: low

WBC: normal

PLT: normal

Reticulocyte Count: low

MCV: low

Serum Ferritin: low

TIBC: high

Iron Saturation: low

Plasma Iron: low

DAT: negative

What is the most likely diagnosis?

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Authors

Mike Paget

mkpaget@ucalgary.ca

Manager - Academic Technologies - Cumming School of Medicine

Dr. Susan Bannister

Susan.Bannister@ahs.ca

Dr. Angela Punnett

angela.punnett@sickkids.ca

Dr. Hosanna Au