Question

A one-year-and-a-half-old baby has been diagnosed with mild anemia in three consecutive blood routine checks conducted at six months, one year, and one-and-a-half years old. The hemoglobin levels were 118, 102, and 114 respectively. The baby’s hematocrit (HCT), mean corpuscular volume (MCV), and mean corpuscular hemoglobin content (MCH) were all below the lower limit of the normal range. Specific values are:

  • HCT: 31~35, standard range (36-56)
  • MCV: 73~80, standard range (80-100), the baby’s value was between 75-85
  • MCH: 24~27, standard range (27-32) The baby’s father was diagnosed with the pre-stage of true polycythemia at the age of 30, accompanied by splenomegaly.

Answer

The most likely cause of the baby’s microcytic hypochromic anemia is iron deficiency anemia, and previous tests have shown low ferritin levels. The severity of the anemia is not high at present, and it can be improved through enhanced nutrition and dietary supplements. Please note that the answer provided above is merely a formatting and simplification based on the provided text. In actual situations, further medical advice and professional knowledge may be required to provide a more accurate response.