Tow blood samples were collected from each patient, in EDTA tube. Other samples in plan tube EDTA blood from the first tube was tested within half an hours for CBC Count , hemoglobin . MCV MCH, MCHC blood film by microscopic examination , second serum sample was tested for ferritin . Enzyme- Linked Immuno-Sorbent Assay (ELISA) test system using the commercial kit an immune enzymatic (Biokit) kit, which was used to screen all patients for ferritin