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My son is 4 years old. His weight is 14. 2 kg.he is very energetic but fussy eater. He have frequent infections. On routine examination s doctor find his spleen palpable. But in ultrasound it comes normal. Doctor done his CBC and GBP. His Hb is 12 and other parameter s Normal. Blood picture shows mild microcytic anemia and d/d is iron deficiency anemia and thalassemia trait. How should I differentiate between the two above please advice.

2 Doctors Answered
Iron profile and Hb electrophoresis will differentiate.
Hi lybrate-user, You may do Iron profile and Hemoglobin HPLC. If Ferritin or Transferrin saturation is low, it is iron deficiency. If Hb A2 on HPLC is more than 3.5%, it is beta thalassemia trait.
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