طفل عمره ٧ سنوات بالثلاسيميا الكبرى يأخذ نقل دم كل ٣ أسابيع. أي علاج إضافي يحتاجه غالباً؟

A 7-year-old with thalassaemia major receives transfusions every 3 weeks. Which additional treatment is usually needed?

1. High-dose vitamin C alone
2. Iron chelation therapy
3. No additional treatment
4. Daily iron supplements

Answer: B) Iron chelation therapy. Repeated transfusion causes iron overload in heart, liver and glands, requiring chelation with ferritin monitoring; iron supplements are not given.