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不宁腿综合征与缺铁:揭示隐藏联系并找到缓解方法。

Restless Legs and Iron Deficiency: Unraveling the Hidden Link and Unlocking Relief.

作者信息

Alzaabi Fatema M, Al Tarawneh Dana J, Al Tarawneh Yusuf J, Khan Abdallah, Khan Mohammed Abdul Muqsit, Siddiqui Tabish W, Siddiqui Raqshan W, Nishat Syed Muhammad Hayyan, Alzaabi Asma A, Siddiqui Shiza W

机构信息

Internal Medicine, RAK Medical and Health Sciences University, Ras Al Khaimah, ARE.

Internal Medicine, King Khalid University Hospital, Abha, SAU.

出版信息

Cureus. 2025 Apr 17;17(4):e82413. doi: 10.7759/cureus.82413. eCollection 2025 Apr.

DOI:10.7759/cureus.82413
PMID:40385869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12084866/
Abstract

Restless legs syndrome (RLS), also called Willis-Ekbom disease (WED), is a condition marked by an overwhelming urge to move the legs, particularly during rest or at night. Treatments, including intravenous iron, show potential, but further studies are needed to establish their long-term safety and efficacy. The findings integrate various studies to better understand diagnosis, mechanisms, and treatment options for RLS. This review explores the connection between RLS and iron deficiency, emphasizing iron metabolism and its potential role in disease development.

摘要

不宁腿综合征(RLS),也称为威利斯-埃克博姆病(WED),是一种以强烈的腿部活动冲动为特征的病症,尤其是在休息时或夜间。包括静脉注射铁剂在内的治疗方法显示出了潜力,但需要进一步研究以确定其长期安全性和有效性。这些发现整合了各项研究,以更好地理解不宁腿综合征的诊断、发病机制和治疗选择。这篇综述探讨了不宁腿综合征与缺铁之间的联系,强调了铁代谢及其在疾病发展中的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23e/12084866/86feb14e6746/cureus-0017-00000082413-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23e/12084866/e70e5a05a7db/cureus-0017-00000082413-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23e/12084866/86feb14e6746/cureus-0017-00000082413-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23e/12084866/e70e5a05a7db/cureus-0017-00000082413-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23e/12084866/86feb14e6746/cureus-0017-00000082413-i02.jpg

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本文引用的文献

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Revisiting brain iron deficiency in restless legs syndrome using magnetic resonance imaging.使用磁共振成像技术重新探讨不宁腿综合征的脑铁缺乏。
Neuroimage Clin. 2022;34:103024. doi: 10.1016/j.nicl.2022.103024. Epub 2022 Apr 26.
2
The prevalence and clinical characteristics of restless legs syndrome in patients with iron deficiency anemia in Korea.韩国缺铁性贫血患者中不宁腿综合征的患病率及临床特征
J Clin Sleep Med. 2021 Jul 1;17(7):1447-1452. doi: 10.5664/jcsm.9230.
3
The Effect of Parenteral or Oral Iron Supplementation on Fatigue, Sleep, Quality of Life and Restless Legs Syndrome in Iron-Deficient Blood Donors: A Secondary Analysis of the IronWoMan RCT.
缺铁性献血者中,静脉或口服补铁对疲劳、睡眠、生活质量和不宁腿综合征的影响:一项随机对照试验的二次分析。
Nutrients. 2020 May 5;12(5):1313. doi: 10.3390/nu12051313.
4
Emerging Concepts of the Pathophysiology and Adverse Outcomes of Restless Legs Syndrome.不宁腿综合征的病理生理学和不良结局的新观点。
Chest. 2020 Sep;158(3):1218-1229. doi: 10.1016/j.chest.2020.03.035. Epub 2020 Apr 2.
5
The role of iron repletion in adult iron deficiency anemia and other diseases.铁补充在成人缺铁性贫血及其他疾病中的作用。
Eur J Haematol. 2020 Mar;104(3):153-161. doi: 10.1111/ejh.13345. Epub 2019 Dec 26.
6
Does Improvement of Low Serum Ferritin Improve Symptoms of Restless Legs Syndrome in a Cohort of Pediatric Patients?血清铁蛋白水平改善能否改善儿科患者群体中不安腿综合征的症状?
J Clin Sleep Med. 2019 Aug 15;15(8):1149-1154. doi: 10.5664/jcsm.7810.
7
Iron supplementation for restless legs syndrome - A systematic review and meta-analysis.铁补充治疗不安腿综合征的系统评价和荟萃分析。
Eur J Intern Med. 2019 May;63:34-41. doi: 10.1016/j.ejim.2019.02.009. Epub 2019 Feb 22.
8
Comorbidities, treatment, and pathophysiology in restless legs syndrome.不宁腿综合征的共病、治疗和病理生理学。
Lancet Neurol. 2018 Nov;17(11):994-1005. doi: 10.1016/S1474-4422(18)30311-9. Epub 2018 Sep 21.
9
New Insights into the Neurobiology of Restless Legs Syndrome.对不宁腿综合征神经生物学的新认识。
Neuroscientist. 2019 Apr;25(2):113-125. doi: 10.1177/1073858418791763. Epub 2018 Jul 26.
10
Symptom Persistence after Iron Normalization in Women with Restless Legs Syndrome.不宁腿综合征女性铁水平恢复正常后症状持续存在
Psychiatry Investig. 2018 Apr;15(4):390-395. doi: 10.30773/pi.2017.08.21. Epub 2018 Feb 28.