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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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11 Yr Old Diagnosed With Thalassemia Intermedia. What's The Best Treatment ?

Hi i got a question about my niece.. she is 11 years old, her weight is around 24 kgs.. Around a year back she s been diagnosed with Thalassemia intermedia .. she is got a 16 inch of spleen and her Hb remains around 9 to 10.. so, i was wondering what would be the best treatment for her?? and how to reduce the size of spleen?? Thanks.
Thu, 6 Sep 2012
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General & Family Physician 's  Response
Hi, Welcome to HCM, I am Dr. Das
In thalassemia intermedia, it is unlikely to have such a huge spleen. Are there any other symptoms like gum bleeding, chronic infection etc?
For thalassemia intermedia basically you only need Folic acid supplementation. And if Hemoglobin level fall below 9 then blood transfusion is the treatment of choice.
In my opinion go for a complete blood test (CBC) with a query for abnormal cells.
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11 Yr Old Diagnosed With Thalassemia Intermedia. What's The Best Treatment ?

Hi, Welcome to HCM, I am Dr. Das In thalassemia intermedia, it is unlikely to have such a huge spleen. Are there any other symptoms like gum bleeding, chronic infection etc? For thalassemia intermedia basically you only need Folic acid supplementation. And if Hemoglobin level fall below 9 then blood transfusion is the treatment of choice. In my opinion go for a complete blood test (CBC) with a query for abnormal cells.