Hematology

Anemia of chronic disease resulting directly from undernutrition is a recognized clinical entity. Studies have identified reduced erythropoiesis and alterations of erythrocyte function in undernourished persons that respond to nutritional repletion. Iron and folate deficiency anemias may also result from inadequate micronutrient intake in undernourished persons.

Measurement of the total lymphocyte count (TLC) is helpful mainly in the stratification of the severity of undernutrition. A TLC of less than

1200 x 1061 1 indicates mild undernutrition while counts less than 800 x 1061-1 are usually found in severely undernourished persons.

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