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Recommendations for diagnosis, treatment, and prevention of iron deficiency and iron deficiency anemia.

作者信息

Iolascon Achille, Andolfo Immacolata, Russo Roberta, Sanchez Mayka, Busti Fabiana, Swinkels Dorine, Aguilar Martinez Patricia, Bou-Fakhredin Rayan, Muckenthaler Martina U, Unal Sule, Porto Graça, Ganz Tomas, Kattamis Antonis, De Franceschi Lucia, Cappellini Maria Domenica, Munro Malcolm G, Taher Ali

机构信息

Dipartimento di Medicina Molecolare e Biotecnologie Mediche Università degli Studi di Napoli Federico II Napoli Italy.

CEINGE Biotecnologie Avanzate Franco Salvatore Napoli Italy.

出版信息

Hemasphere. 2024 Jul 15;8(7):e108. doi: 10.1002/hem3.108. eCollection 2024 Jul.


DOI:10.1002/hem3.108
PMID:39011129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11247274/
Abstract

Iron is an essential nutrient and a constituent of ferroproteins and enzymes crucial for human life. Generally, nonmenstruating individuals preserve iron very efficiently, losing less than 0.1% of their body iron content each day, an amount that is replaced through dietary iron absorption. Most of the iron is in the hemoglobin (Hb) of red blood cells (RBCs); thus, blood loss is the most common cause of acute iron depletion and anemia worldwide, and reduced hemoglobin synthesis and anemia are the most common consequences of low plasma iron concentrations. The term iron deficiency (ID) refers to the reduction of total body iron stores due to impaired nutrition, reduced absorption secondary to gastrointestinal conditions, increased blood loss, and increased needs as in pregnancy. Iron deficiency anemia (IDA) is defined as low Hb or hematocrit associated with microcytic and hypochromic erythrocytes and low RBC count due to iron deficiency. IDA most commonly affects women of reproductive age, the developing fetus, children, patients with chronic and inflammatory diseases, and the elderly. IDA is the most frequent hematological disorder in children, with an incidence in industrialized countries of 20.1% between 0 and 4 years of age and 5.9% between 5 and 14 years (39% and 48.1% in developing countries). The diagnosis, management, and treatment of patients with ID and IDA change depending on age and gender and during pregnancy. We herein summarize what is known about the diagnosis, treatment, and prevention of ID and IDA and formulate a specific set of recommendations on this topic.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2fd/11247274/38e6dbc99b00/HEM3-8-e108-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2fd/11247274/ee173828ebba/HEM3-8-e108-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2fd/11247274/6cc9d1bb20b3/HEM3-8-e108-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2fd/11247274/8bae656eaa12/HEM3-8-e108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2fd/11247274/f0138dfe010c/HEM3-8-e108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2fd/11247274/38e6dbc99b00/HEM3-8-e108-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2fd/11247274/ee173828ebba/HEM3-8-e108-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2fd/11247274/6cc9d1bb20b3/HEM3-8-e108-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2fd/11247274/8bae656eaa12/HEM3-8-e108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2fd/11247274/f0138dfe010c/HEM3-8-e108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2fd/11247274/38e6dbc99b00/HEM3-8-e108-g004.jpg

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Recommendations for diagnosis, treatment, and prevention of iron deficiency and iron deficiency anemia.

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[4]
[Not Available].

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[5]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Prevalence of heavy menstrual bleeding and associations with physical health and wellbeing in low-income and middle-income countries: a multinational cross-sectional study.

Lancet Glob Health. 2023-11

[2]
Contemporary evaluation of women and girls with abnormal uterine bleeding: FIGO Systems 1 and 2.

Int J Gynaecol Obstet. 2023-8

[3]
Therapeutic options for the management of abnormal uterine bleeding.

Int J Gynaecol Obstet. 2023-8

[4]
Reflections on access to care for heavy menstrual bleeding: Past, present, and in times of the COVID-19 pandemic.

Int J Gynaecol Obstet. 2023-8

[5]
How to diagnose iron deficiency in chronic disease: A review of current methods and potential marker for the outcome.

Eur J Med Res. 2023-1-9

[6]
Defining ferritin clinical decision limits to improve diagnosis and treatment of iron deficiency: A modified Delphi study.

Int J Lab Hematol. 2023-6

[7]
Effect of Oral Iron Supplementation on Cognitive Function among Children and Adolescents in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.

Nutrients. 2022-12-15

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Pediatrics. 2022-12-1

[9]
The role of oral iron in the treatment of adults with iron deficiency.

Eur J Haematol. 2023-2

[10]
Iron deficiency and cardiovascular disease.

Eur Heart J. 2023-1-1

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