Edema and Hemolytic Anemia in Premature Infants
- 28 November 1968
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 279 (22), 1185-1190
- https://doi.org/10.1056/nejm196811282792202
Abstract
Widespread edema, anemia, reticulocytosis, thrombocytosis and vitamin E deficiency were noted in seven premature infants during the second month of life. Appropriate studies excluded the usual causes of these findings. The erythrocyte survival times, measured by means of DF32P and 51Cr, were strikingly short, confirming the hemolytic nature of the anemia. All infants had been fed commercial formulas with iron and a high content of polyunsaturated fatty acid, resulting in a low ratio of vitamin E to fatty acids. When vitamin E (alpha-tocopherol acetate), 75 to 100 IU daily, was given separately by mouth to five infants available for treatment and study, serum tocopherol level rose, reticulocyte count fell to normal and erythrocyte survival time lengthened; this was followed by correction of the anemia, clearing of the edema and subsidence of the thrombocytosis.This publication has 27 references indexed in Scilit:
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