Pallor is a clinical sign of anaemia. The severity depends upon the amount of
pinkness of palm. It is graded as mild, moderate and severe. In children younger
than 2 years palmar pallor, has a sensitivity of 58%, and the highest sensitivity
to detect moderate anemia as compared to other anatomic sites. If the palmar
creases are pale it indicates severe pallor. The common causes of severe pallor
are haemorrhage, haemolysis ,aplastic anaemia and shock.