Whole Cow's milk Related iron Deficiency Anemia in Early Childhood. |
In Sang Jeon1, Heon Seok Han1, Hyo Seop Ahn1, Jin Q Kim2 |
1Department of Pediatrics, Seoul National University, College of Medicine, Seoul, Korea 2Department of Clinical Pathology, Seoul National University, College of Medicine, Seoul, Korea |
생우유 과량섭취와 관련된 소아 철결핍성 빈혈의 고찰* |
전인상1, 한헌석1, 안효섭1, 김진규2 |
1서울대학교 의과대학 소아과학교실 2서울대학교 의과대학 임상병리학교실 |
Received: 6 February 1990 • Accepted: 11 June 1990 |
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Abstract |
To study the relationship between large amount of whole cow’s milk (WCM) intake and iron
deficiency anemia (IDA) in early childhood, we carried out the study on 9 children with IDA, who
were fed WCM, about 1,000 ml over 3 months, experienced at the department of Pediatrics, Seoul
National University Hospital, during 5 months from March 1989 to July 1989.
The results were as follows:
1) The sex ratio of male to female was 5:4. The age of patients ranged from 1 year 2 months to 3
years 1 month and the median was 2 years 1 month.
2) The age at WCM commencing was from 3 months to 1 year 3 months old of age.
The daily amount of WCM was from 850 ml to 1,500 ml, and the duration of WCM feeding was
from 3 months to 2 years 10 months.
3) The average concentration of Hb was 7.2 gm/dl (2.8—10.6 gm/dl). The average Het was 27.4%
(11.1 〜 37.4%).
4) The average concentration of serum ferritin was 5.8 ng/ml (3.0—16.0 ng/ml). That of serum iron
was 48.3 z/g/dl (26~ 120 ^g/dl). The average TIBC was 448.4 jtzg/dl (375〜496//g/dl). The average
transferrin saturation was 10.9% (5.5〜27.9%).
5) The concentration of iron in H & S company WCM at the market was 0.5 mg/1 and 0.7 mg/Z by
the Bathophenanthroline method.
6) There was an improvement in Hb concentration over 10 gm/dl after WCM restriction under 500
ml/day and oral iron therapy in 7 observed cases. |
Key Words:
Iron deficiency anemia, Whole cow’s milk, Weaning |
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