scholarly journals Ascaris lumbricoides infection: Still a threat for iron deficiency anaemia in 2-year-old Bangladeshi slum-dwelling children

2019 ◽  
Vol 13 (10) ◽  
pp. 933-938
Author(s):  
Md. Shabab Hossain ◽  
Subhasish Das ◽  
Md. Amran Gazi ◽  
Mustafa Mahfuz ◽  
Tahmeed Ahmed
Keyword(s):  
Logistic Regression ◽  
Iron Deficiency ◽  
Ascaris Lumbricoides ◽  
Transferrin Receptor ◽  
Iron Deficiency Anaemia ◽  
Strong Association ◽  
Parasitic Infections ◽  
Soluble Transferrin Receptor ◽  
Intestinal Parasitic Infections ◽  
Deficiency Anaemia

Introduction: Although parasitic infections lead to extracorporeal iron loss resulting in iron deficiency anaemia (IDA), data associating IDA with parasitic infections in the first two years of life are limited. We sought to evaluate the prevalence and severity of anaemia and IDA during this period and to investigate the association between intestinal parasitic infections and IDA. Methodology: Data was collected under MAL-ED study protocol in Bauniabadh slum of Dhaka, Bangladesh. The presence of parasites in stool was detected using wet preparation microscopy at 7, 15, and 24 months. Anaemia was defined as serum haemoglobin < 11 g/dL and IDA was defined by serum haemoglobin < 11 g/dL, serum ferritin < 12 g/L and soluble transferrin receptor > 8.3 mg/L. Logistic regression was done to quantify the relation between stool parasite and IDA separately on samples collected at 7, 15 and 24 months. Results: 265 children were enrolled after birth and samples were collected at 7, 15 and 24 months. Anaemia was detected at 7, 15 and 24 months in 117 (48.8%), 106 (44.2%) and 67 (27.9%) cases whereas IDA was found in 15 (6.3%), 47 (19.6%) and 39 (16.3%) cases, respectively. Iron deficiency anaemia at 24 months was significantly associated with Ascaris lumbricoides infection (OR 3.76; 95 % CI, 1.08-13.11). Conclusions: The prevalence of anaemia and IDA in slum dwelling children of Dhaka is high and Ascaris lumbricoides infection was found to have a strong association with IDA at 24 months of age.

scholarly journals The Value of Soluble Transferrin Receptor and Soluble Transferrin Receptor-ferritin Index in Discriminating Iron Deficiency Anaemia from Anaemia of Chronic Disease in Patients With Rheumatoid Arthritis

2019 ◽  
Vol 13 (1) ◽  
pp. 9-14
Author(s):  
Haithem A. Al-Rubaie ◽  
Israa M. Al-Bayaa ◽  
Yassmin A. Al-Amiri
Keyword(s):  
Rheumatoid Arthritis ◽  
Chronic Disease ◽  
Iron Deficiency ◽  
Transferrin Receptor ◽  
Iron Deficiency Anaemia ◽  
Soluble Form ◽  
Soluble Transferrin Receptor ◽  
Deficiency Anaemia ◽  
Inflammatory Status ◽  
Anaemia Of Chronic Disease

Background:Anaemia is a common extra-articular manifestation of rheumatoid arthritis (RA) where anaemia of chronic disease (ACD) and iron deficiency anaemia (IDA) are the two most frequent types. The distinction between these two types of anaemia has always been challenging requiring sophisticated techniques. Serum transferrin receptor (sTfR) a truncated soluble form of the transferrin receptor is one of the parameters that is influenced by the Iron content and supply to the erythrons and is not affected by inflammatory status and therefore the use of the sTfR/log ferritin (sTfR-F) index can be a reliable indicator of functional iron deficiency.Aim of the study:This study aims to evaluate the usefulness of sTfR and sTfR-F index in discriminating the most common types of anaemia in patients with RA.Patients and methods:The study included 50 patients with RA and 30 healthy subjects as a control group. Complete blood picture, C-reactive protein, serum Iron, unsaturated iron binding capacity, sTfR and serum ferritin were tested.Results and Conclusion:anaemia was present in 34/50 patients; 19 patients had ACD, 9 had ACD/IDA and only 6 patients had IDA. Both the sTfR and the sTfR-F index showed a significant difference between anaemia groups (P values = 0.037 and 0.001, respectively). sTfR-F index has shown to be a very useful parameter that can discriminate efficiently between IDA and ACD and between ACD and ACD/IDA in patients with RA.

scholarly journals Native ValveStreptococcus bovisEndocarditis and Refractory Transfusion Dependent Iron Deficiency Anaemia Associated with Concomitant Carcinoma of the Colon: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Abdul Azeez Ahamed Riyaaz ◽  
Randula Samarasinghe ◽  
Kolitha Sellahewa ◽  
Sabaratnam Sivakumaran ◽  
Manjula Sri Tampoe
Keyword(s):  
Iron Deficiency ◽  
Iron Deficiency Anaemia ◽  
Strong Association ◽  
Screening Colonoscopy ◽  
Streptococcus Bovis ◽  
Review Of The Literature ◽  
Human Gut ◽  
Deficiency Anaemia ◽  
Carcinoma Of The Colon ◽  
Modes Of Presentation

Streptococcus bovisis found as a commensal organism in human gut and may become opportunistically pathogenic. Infective endocarditis is one of the commonest modes of presentation of this infection. The association betweenStreptococcus bovisendocarditis and colorectal cancer is well recognized. We report a case ofStreptococcus bovisendocarditis along with a refractory iron deficiency anaemia associated with concomitant carcinoma of ascending colon in a 63-year-old male. Cooccurrence of these two conditions may cause a challenge in the management. Considering the strong association of colon cancer withStreptococcus bovisendocarditis, a detailed screening colonoscopy is mandatory following the diagnosis of the latter.

The Ratio of Serum Transferrin Receptor and Serum Ferritin in the Diagnosis of Iron Deficiency Anaemia in Young Children

Blood ◽  
2007 ◽  
Vol 110 (11) ◽  
pp. 3746-3746
Author(s):  
EunSil Park ◽  
In-Suk Kim ◽  
JiHyun Seo ◽  
JaeYoung Lim ◽  
ChanHoo Park ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Serum Ferritin ◽  
Transferrin Receptor ◽  
Iron Deficiency Anaemia ◽  
Normal Group ◽  
Growth Spurt ◽  
Serum Transferrin ◽  
Deficiency Anaemia ◽  
Serum Transferrin Receptor ◽  
The Mean

Abstract The incidence of iron deficiency anaemia in 6∼24 month old infants due to increase in iron demand for growth spurt is reported ranged 10 to 40%. However this age group has a common acute illness such as urinary tract infection, pneumonia, and other viral infections. The aim of this study is to evaluate that iron parameter and acute phase reactant are useful parameters in differentiating anaemia by infection from anemia by iron deficiency and the mixed anaemia of these. Among 6–24 months of the infants who visited Gyeongsang Univeristy Hospital for 7 years from 2000 to 2006, 131 infants were enrolled. Hemoglobin(Hb), serum ferritin(SF), serum transferrin receptor(STfR), C reactive protein(CRP), interleukin-6(IL-6), prohepcidine were checked. The subgroup of anaemia of inflammation(AI) was defined as Hb &lt;11 g/dL and SF &gt;50 μg/L, the subgroup of iron deficiency anaemia(IDA) as Hb &lt;11 g/dL and SF &lt;12 μg/L and the normal group as Hb ≥11 and SF ≥12 μg/L. The mean STfR in the subgroup of AI, IDA and normal was 3.89(±2.64), 10.6(±4.95) and 3.96(±1.24), respectively. The mean STfR/Log SF of subgroup was 1.87(±1.55), 36.11(±71.5), 2.31(±0.97), respectively. The mean Log(STfR/SF) was statistically significant between 3 subgroup. All IDA group had Log(STfR/SF) &gt;2.55 whereas in all subjects classified as AI it was &lt;2.55, thus clearly separating two. The mean IL-6 of AI was significantly higher than IDA subgroup and the mean prohepcidine of AI was significantly lower than the normal group. Calculating Log(STfR/SF) is a useful criteria in classification of the iron status. Prohepcine has nothing to do with AI. Iron signal predominant over inflammatory signal in AI. The Mean(±SD) of STfR, STfR/LogSF, Log (TfR/SF), CRP, IL-6 and Prohepcidine in Subgroups. AI IDA Normal Same letters mean that are not significantly different (P &lt;0.05) AI, anaemia of inflammation; IDA, iron deficiency anaemia Subgroup(%) 33(25) 29(22) 69(53) Hg(g/dL) &lt;11 &lt;11 ≥11 SF(μg/L) &gt;50 &lt;12 ≥12 STfR mean(±SD) 3.89(2.64)a 10.6(4.95) b 3.96(1.24) a STfR/LogSF mean (±SD) 1.87(1.55) a 36.11(71.5) b 2.31(0.97) a Log (TfR/SF) mean(±SD) 1.30(0.56) a 3.29(0.43) b 1.76(0.43) c CRP mean(±SD) 28(39.2) a 7.6(9.6) b 17(28.0) a IL-6 mean(±SD) 6.1(10.5) a 2.0(6.3) b 4.78(11.3) c Prohepcidine mean(±SD) 204(70.5) a 234(144) a 301(120.6) b Fig.1. Log(TfR/SF) in the subgroup. AI, anaemia of inflammation; IDA, Iron deficiency anaemia. Dotted lines indicate the cut-off value at Log(TfR/SF)=2.55 Fig.1. Log(TfR/SF) in the subgroup. AI, anaemia of inflammation; IDA, Iron deficiency anaemia. Dotted lines indicate the cut-off value at Log(TfR/SF)=2.55

scholarly journals Prevalence and significance of iron deficiency of anaemia among people of Mornag District of Nepal

2012 ◽  
Vol 1 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Amar Kumar Sinha ◽  
Biswajit Majumdar ◽  
Shrawan Kumar Yadav
Keyword(s):  
Iron Deficiency ◽  
Iron Deficiency Anaemia ◽  
World Health ◽  
Nutritional Deficiencies ◽  
Parasitic Infections ◽  
Chronic Infections ◽  
Deficiency Anaemia ◽  
Medical College ◽  
Iron Deficient ◽  
Health Organization

Iron deficiency anaemia is one of the most dangerous and devastating causative form of malnutrition in developing countries, where special care should be taken from the health community to address the problem in South East Asian countries, 1.3-2.2 billion population is affected according to world health organization. Fifty percent of women and children and 60% of gross anemic women of developing nations have been adversely affected till date. The most common cause of iron deficiency anaemia is due to inadequate intake of iron in diet, physiologic demands of pregnancy and rapid growth and loss due to parasitic infections. Other prevalent causes of anaemia include malaria, chronic infections and nutritional deficiencies of vitamin A, folic acid and Vitamin b-12. The study reveals that 25.57 % of patients have been suffering from iron deficient anemia.DOI: http://dx.doi.org/10.3126/jonmc.v1i1.7286 Journal of Nobel Medical College Vol.1(1) 2011 40-44

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