What is the cause of hepatosplenomegaly in a 1 year old child who is said to have nutritional anaemia?

Due to the limited blood production capacity of the bone marrow in small children, when a child develops malnutritional anaemia. The body will urgently mobilise its blood production capacity outside the bone marrow, and the areas where emergency blood production takes place, such as the liver and spleen, will then become enlarged to accommodate the emergency blood production.
Therefore, a child with nutritional anaemia will develop an enlarged liver and spleen. At this point, they need to be taken to the doctor promptly for treatment.