Kwashiorkor in Egypt

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Abstract
The hematologic aspects of kwashiorkor were studied in thirty-four patients in Cairo, Egypt, U.A.R. Iron deficiency was frequently present. Macrocytic red cell indices were common. Various degrees of megaloblastic changes in the bone marrow were seen in twelve of seventeen patients in whom bone marrow studies were carried out. Serum vitamin E levels were low. Evidence suggesting that vitamin E deficiency may be important in the macrocytic anemia of kwashiorkor is discussed. Serum vitamin B12 levels varied widely. The correlation between megaloblastic abnormalities in marrow and serum vitamin B12 levels was poor.

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