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[Epidemiological, clinico-biological, therapeutic and evolutionary aspects of β-thalassemia in Morocco].

作者信息

Zahir Hanane, Chakour Mohammed, Mouhib Hanane, Yahyaoui Hicham, Ait Ameur Mustapha

机构信息

Laboratoire d'hématologie, Hôpital Avicenne, CHU Mohammed VI, Faculté de médecine et de pharmacie de Marrakech, Maroc.

出版信息

Ann Biol Clin (Paris). 2019 Apr 1;77(2):169-173. doi: 10.1684/abc.2019.1433.

DOI:10.1684/abc.2019.1433
PMID:30998197
Abstract

OBJECTIVE

Thalassemias is the consequence of a synthesis imbalance between the α and β chains of hemoglobin. It's a hereditary haemolytic anemias, which presents a problem of public health because of their frequency and the difficulties of their care. The objective of this work is to study the epidemiological, clinico-biological, therapeutic and evolutionary profile of thalassemic patients in Morocco.

METHODS

We're reporting the results of a retrospective multicenter study on all cases of thalassemia taken at the hospitals: Avicenne military hospital in Marrakech, Mohammed VI hospital in Marrakech and the regional center for blood transfusion in Agadir.

RESULTS

During this period we collected 81 cases of thalassemias. The average age was 13 years (from 1 month to 60 years) with a sex ratio (M/F) of 0.8. The reason for consultation was anemia in 43% of cases. The electrophoresis of hemoglobin has shown a predominance of the β-thalassemia minor form. On the evolutionary level, iron overload and endocrine complications were the most frequent.

CONCLUSION

The development of a prevention program based mainly on health education, the reduction of consanguineous marriages and genetic counseling, are probably the main ways of combating the emergence of new thalassemic cases.

摘要

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