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Anaemia of prematurity — RACP Paediatrics MCQ

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ModerateNeonatalAnaemia of prematurityRACP Paediatrics

A 28-week premature infant at 6 weeks has Hb 75 g/L with low reticulocytes. No bleeding or haemolysis. On full feeds with iron supplementation. What is the cause?

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Correct answer: A — Anaemia of prematurity

Anaemia of prematurity: inadequate EPO production, rapid growth, phlebotomy losses. Reticulocytes inappropriately low. Management: minimise losses, iron, transfuse if symptomatic.

Reference: RCH Melbourne – 2023 – Neonatal Anaemia CPG