YOUR CHILD’S HEALTH CARE/BLOOD DISORDERS: PALLOR (PALENESS) AND THALASSAEMIA

PALLOR (PALENESS)

Pallor can be normal, or a sign of an underlying medical condition. Many children have a fair complexion and look pale, especially in the winter months. Most children look pale when they are unwell. Parents have the best idea of the health of their child. If your child is active, eating well, full of energy, and seems otherwise normal, it is most unlikely that his paleness indicates an underlying serious medical condition.

If, on the other hand, your child is pale and also appears tired, uninterested in eating or is otherwise unwell, you should consult your doctor. After a careful medical history and physical examination, he may order a blood test to see if your child is anaemic or has some other underlying condition.

THALASSAEMIA

Thalassaemia is an inherited disease where there is an abnormality of haemoglobin, that part of the red blood cell which carries oxygen around the body. It is seen much more frequently in certain ethnic groups, especially those from the Mediterranean countries and parts of East Asia.

In its severe form (Thalassaemia Major) the condition, if not treated, causes severe anaemia, growth retardation, and early death due to heart failure. Treatment consists of regular and frequent blood transfusions. In addition, a particular drug is given to mop up the excessive amounts of iron that are the result of the rapid destruction of the faulty red blood cells. With this treatment, children can live essentially normal lives.

There is also a mild form of thalassaemia (Thalassaemia Minor) which leads to a very mild anaemia but usually causes no symptoms at all. It is important for someone to know if they have Thalassaemia Minor: if they marry a partner with the same condition then there is a one in four chance that their children will be affected with Thalassaemia Major. Antenatal diagnosis is now available for this condition.

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