Iron deficiency in Yemeni patients with sickle-cell disease

Despite the general view that patients with sickle-cell disease (SCD) have iron overload, there are reports of iron deficiency in a proportion of these patients. We studied Yemeni patients aged 1-30 years with homozygous SCD to determine their iron status using a set of 4 criteria (low serum iron, l...

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Veröffentlicht in:Eastern Mediterranean health journal 2012-03, Vol.18 (3), p.241-245
Hauptverfasser: Kassim, A, Thabet, S, Al-Kabban, M, Al-Nihari, K
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container_title Eastern Mediterranean health journal
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creator Kassim, A
Thabet, S
Al-Kabban, M
Al-Nihari, K
description Despite the general view that patients with sickle-cell disease (SCD) have iron overload, there are reports of iron deficiency in a proportion of these patients. We studied Yemeni patients aged 1-30 years with homozygous SCD to determine their iron status using a set of 4 criteria (low serum iron, low transferrin saturation, high total iron binding capacity and low mean corpuscular volume for age). Of the 75 patients, 44 had never been transfused while 31 patients had received blood transfusions but not during the 3-month period prior to the study. Of the patients, 10 (13.3%) met the criteria for iron deficiency, 9 of whom were from the non-transfused patients (20.5%). The sensitivity and specificity were 40% and 98% respectively for reticulocyte count and 80% and 90% respectively for reticulocyte index. We recommend screening non-transfused SCD patients for iron deficiency.
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subjects Adolescent
Adult
Anemia
Anemia, Iron-Deficiency - blood
Anemia, Iron-Deficiency - diagnosis
Anemia, Iron-Deficiency - epidemiology
Anemia, Sickle Cell - blood
Anemia, Sickle Cell - epidemiology
Blood diseases
Blood Transfusion - statistics & numerical data
Blood transfusions
Bone marrow
Cellulose acetate
Child
Child, Preschool
Clinical medicine
Comorbidity
Disease
Female
Humans
Infant
Iron
Male
Reticulocyte Count
Yemen
Young Adult
title Iron deficiency in Yemeni patients with sickle-cell disease
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