Frequency of Iron Deficiency and Iron Deficiency Anemia among Hemophilia Children in Babylon Hereditary Blood Disease Center /Iraq

Subject Areas : Journal of Chemical Health Risks

Ahmed Shemran Mutlaq Al-Wataify ^{1 *} , Hussain Naji Al-Shammary ² , Amna Ganem Abdul-hussain ³ , Qasim Fakher Alhussainy ⁴

1 - Professor of Pediatric, Deptartment of Pediatric, Collage of Medicine, University of Babylon, Hilla, Iraq FRCP, CABP, FICMS pediatric
2 - Associate Professor of Hematology, College of Medicine, Babylon University, General Pathology, Hematology, Hilla, Iraq, MB.Ch.B. FICMS, Hematology
3 - Pediatrition, Babylon Health Directorate, Iraqi Mministryof Health, Hilla, Iraq, M.B.CH.B, F.I.C.M.S.
4 - Pediatrition, Babylon Health Directorate, Iraqi ministry of health. Hilla, Iraq, M.B.CH.B, F.I.C.M.S.

Received: 2021-08-05 Accepted : 2021-11-25 Published : 2022-06-01

Keywords: Iron Deficiency Anemia, Arthropathy, Hemophilia, Iron deficiency joint bleeding, Serum ferritin,

Abstract :

Objective: to evaluate the frequency of iron deficiency with or without anemia among hemophilia patients with its correlation with other factors including age, address, type and severity of hemophilia. Study design: Cross sectional study, it was conducted at Babylon hereditary blood disease center at Babylon Government/Iraq. For a period of 10 months, from 1st of February to end of November 2019. Methods: The study included 60 patients of hemophilia classified into: hemophilia A (40) patients and hemophilia B (20) patients; all of them were males; age ranged from 6 months to 15 years. All patients were sent for white blood cells count, Hb, Red blood cells indices, serum ferritin level, ESR, C-reactive protein and virology screening. Results: The study reveals IDA occurred in 28.3% and 58.3% of patients developed ID. There was more declined in mean ferritin level among patients with IDA reached 3.7 ± 1.4 ng ml-1 , compared to 5.7± 1.4 ng ml-1 in ID and in those with sever deficiency. Higher percentage of ID and IDA occurred in complicated hemophilia and those were lived in rural areas. Conclusion: Iron deficiency and IDA are common among hemophilia patients.

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