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Iron Deficiency in Families of Iron-Deficient Inner-City School Children

Robert J. Karp, MD; William S. Haaz; Karen Starko; Jack M. Gorman
Am J Dis Child. 1974;128(1):18-20. doi:10.1001/archpedi.1974.02110260020004.
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Sixty-eight (5.5%) of 1,210 inner-city school children ranging in age from 5 to 8 years were found to have microcythemia (mean corpuscular volume less than 77 cu μ) unassociated with hemoglobinopathy, β thalassemia trait, lead intoxication, chronic infection, or chronic blood loss. Such microcythemia was found to be associated with cultural characteristics of chronic poverty, and a presumptive diagnosis of iron deficiency was made. Hematologic evaluation of inner-city families showed that when the school age child was iron deficient it was likely that the mother and siblings were also iron deficient.


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