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Query: UMLS:C0162316 (iron deficiency anemia)
3,806 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Oral iron and zinc tolerance tests were performed in 12 patients between 8 and 21 years of age, with iron deficiency anemia and geophagia. Decreased iron and zinc absorption were detected respectively in patients against the elevated absorption curves in control subjects. Iron and zinc malabsorption may be an additional feature of the syndrome characterized by geophagia, iron deficiency anemia, hepatosplenomegaly, hypogonadism and dwarfism observed in Turkey and Iran.
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PMID:Decreased iron and zinc absorption in Turkish children with iron deficiency and geophagia. 9 53

The levels of erythrocyte carbonic anhydrase isozymes (CA-B and CA-C) were determined by a quantitative immunochemical technique in order to elucidate their clinical significances in patients with iron deficiency anemia. The specific antibodies against rabbit CA-B and CA-C were also obtained, and the levels of rabbit erythrocyte carbonic anhydrase B and C isozymes were assayed immunochemically in experimental hemolytic and bleeding anemia. Simultaneously carbonic anhydrase isozymes were synthesized in vitro using rabbit reticulocyte-lysate. 1 The levels of erythrocyte CA-B per gram hemoglobin, CA-B per ml erythrocyte and CA-C per gram hemoglobin all increased but CA-C per ml erythrocyte did not increased in iron deficiency anemia. Erythrocyte CA-B and CA-C expressed per gram hemoglobin were inversely correlated to hemoglobin levels. 2 In experimental bleeding anemia and hemolytic anemia of rabbits, erythrocyte CA-B increased with the progression of anemia and with increase in reticulocyte count. However the levels of CA-C did not increased with progression of anemia. 3 In experimental bleeding anemia, it was found that the level of erythrocyte CA-B was correlated to the esterase activity and erythrocyte zinc content. 4 Most of the rabbit erythrocyte CA-B was distributed in younger erythrocytes. 5 It was confirmed that CA isozymes were synthesized in rabbit reticulocyte-lysate. The content of CA-B synthesized in lysates was much higher than that of CA-C. 6 In iron deficiency anemia, the increase of erythrocyte CA is speculated to be compensatory mechanism, which brought about the transportation of CO2 and right shifts of O2 dissociation curve.
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PMID:[Erythrocyte carbonic anhydrase isozymes in patients with iron deficiency anemia and their clinical significances (author's transl)]. 10 34

The early detection of lead intoxitation needs practical, simple, reproducible and diagnostically valid screening test. The determination of ALA-D (delta-amino-levulinic acid-dehydratase) in erythrocytes is one of the most reliable test for the evaluation of the occupational exposure to lead. However this test is difficult to standardize, sensible to lead contamination of laboratory glassware and the activity of enzyme decreases rapidly if stored. The determination of erythrocytes ZPP (zinco-protoporphyrin IX) was proposed as useful, alternative test. The protoporphyrin IX is a metabolic intermediate in heme biosynthesis; in erythrocytes is present as free form and zinc-boundend compound. The ZPP give high values only in lead intoxication and sideropenic anemia. The ALA-D and ZPP in erythrocytes were measured and compared in a group of workers exposed to lead. We have shown a good correlation between these two biochemical parameters. Aminoacid excretion in urine from workers exposed to lead was measured and compared with other biochemical parameters of intoxication. All lead workers examined had excessive urinary CP (coproporphyrin) and ALA (delta-amino-levulinic acid) excretion. An abnormal excretion of glycine was present in eight workers (32%), whereas in other four (15%) the glycinuria was at limit of normal values. An abnormal excretion of lysine was present in six workers (21%). The last data appear very interesting because the action of lead in lysine metabolism was not known.
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PMID:[Biochemical evaluation of damage due to lead: importance and significance of erythrocyte zinc-protoporhyrin IX and urinary amino acid determination]. 60 37

Present investigation was undertaken to elucidate the significance of changes in erythrocyte zinc levels in anemia. A preliminary study for the determination of erythrocyte zinc by atomic absorption spectrophotometry was done. The simple dilution method, in which zinc was determined directly from a sample of erythrocyte lysed and diluted with deionized water, appeared satisfactory in view of its rapidity, simplicity and accuracy. Of importance is that the temperature of sample and standard solution had to be matched. By using the above method, the mode of changes in erythrocyte zinc levels was investigated in healthy individuals and it was found that erythrocyte zinc expressed per gram of hemoglobin was inversely correlated to mean corpuscular hemoglobin concentration (MCHC). This relationship was also shown in patients with iron deficiency anemia and phlebotomy-induced anemia in rabbits. However, erythrocyte zinc expressed per milliliter of packed red cells was generally increased in these cases. The difference of erythrocyte zinc levels between 9:00 a.m. and 3:00 p.m. was not statistically significant. In addition, the levels of the B and of the C type erythrocyte carbonic anhydrases were assayed immunochemically. It was ascertained that there was a significant correlation between erythrocyte zinc levels and those of total carbonic anhydrase. This, the clinical importance of changes in erythrocyte zinc levels in anemia was discussed in relation to the role of this zinc - metalloenzyme.
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PMID:[Determination of erythrocyte zinc by atomic absorption spectrophotometry: Its significance in iron deficiency anemia (author's transl)]. 82 Jun 20

Bushman women appear to have sufficient stores of iron and zinc during pregnancy and lactation; as a result, iron deficiency anemia is rare in Bushman women, even in pregnancy. Hair samples from Bushman women (young nonpregnant, lactating, and postmenopausal) and men were analyzed for iron, zinc, and copper content. Values obtained were compared with those for groups of Bantu and American inner-city mothers. Mean iron levels in the hair were found to be high (173 ppm) for lactating Bushman women, as compared with 43.2 ppm in the group of Bantu women, and 22.9 ppm in the group of American inner-city women. Zinc levels also were higher in the Bushman women. Mean copper values were much higher in the American inner-city mothers (19.9 ppm) than in the Bushman women (8.0 ppm) or in the lactating Bantu women (9.9 ppm). The sum of the metals may be more important than the individual concentrations.
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PMID:Trace metal studies in Bushman hair. 97 39

The measurement of erythrocyte zinc protoporphyrin (ZPP) with a hematofluorometer is known to be a simple and cost-effective method to screen iron deficiency and lead poisoning. We measured ZPP on blood samples from 201 children suffering from various diseases, which revealed that ZPP has better sensitivity and specificity for identifying iron deficiency than serum ferritin and percent transferrin saturation. ZPP levels in various anemias were also measured. ZPP rose markedly (> 200 mumol/mol heme) in untreated iron deficiency anemia and returned to normal in 3-4 months since the initiation of iron therapy. Moderate elevation of ZPP was observed in acute leukemia (at onset and during induction therapy), MDS, aplastic anemia and some other anemic conditions. These findings suggest that erythrocyte ferrochelatase may be unexpectedly affected in anemias even except lead poisoning.
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PMID:[The measurement of erythrocyte zinc protoporphyrin/heme ratio in various anemias in childhood]. 143 41

The incidence of iron deficiency anemia, rickets, and zinc deficiency is very high in Chinese preschool children and a method for prevention is urgently needed. From our studies, it can be seen that a soft drink powder is a convenient vehicle for the supplementation of iron, zinc, calcium, vitamin D, riboflavin, and ascorbic acid. Table salt is also a good, low-cost carrier for iron and zinc, and cow's milk can only be used for the enrichment of vitamins A and D. In our study the therapeutic dose of iron was lower than 3 mg/kg body weight recommended by the WHO Expert Committee. As ascorbic acid can enhance the absorption of iron in the body, so 300 mg vitamin C was added to 100 g of soft drink powder containing 100 mg of elemental iron. Ten g of powder is not only enough for the prevention of iron deficiency anemia but it can also cure iron deficiency anemia within 3 months. One hundred mg of iron in 100 g of table salt is an adequate level, because an adult or a child taking 10 or 5 g of salt will receive 10 and 5 mg of elemental iron respectively. This dosage is adequate for the prevention of anemia. From our results, 10 mg of zinc daily is enough for the prevention and treatment of zinc deficiency in preschool children. Four hundred IU of vitamin D (from fortified soft drink powder or enriched fresh cow's milk) orally-administered daily, is a good way to prevent rickets in infants and young children.
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PMID:Studies on iron deficiency anemia, rickets and zinc deficiency and their prevention among Chinese preschool children. 149 54

The quantitation of the non-heme porphyrin content of circulating erythrocytes is an important tool in the screening, diagnosis, and management of lead disease, iron deficiency anemia, and certain porphyrias. Useful information about these pathological conditions may be obtained from the distribution of the non-heme porphyrin content of individual red blood cells. An image-based cytometry system was developed and used to determine the cellular distributions of zinc protoporphyrin (ZPP) in the erythrocytes of normal and lead-exposed human subjects. The fluorescence cytometry system described here lends itself to a wide range of statistical studies of cell populations, in which extrinsic fluorescent probes or antibodies may be used instead of porphyrin. Image-based cytometry appears to offer a number of important advantages over the more conventional flow cytometry systems, including greater sensitivity, applicability to a wider range of cellular parameters, and the ability to retain images of each cell used in the survey for subsequent examination. Pairs of absorption and fluorescence images of many fields of dispersed immobilized red cells were acquired by means of a program which controls the microscope stage, focussing, shutters, filter wheels, and a cooled, slow-scan CCD camera. The observed marked differences in the ZPP distributions of erythrocytes from donors with chronic and acute lead exposure are discussed in terms of the metabolism of internalized lead.
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PMID:Distribution of non-heme porphyrin content of individual erythrocytes by fluorescence image cytometry and its application to lead poisoning. 152 94

Data were collected on the nutrient intake and nutritional status of 96 single mothers and their 192 dependent children who had been displaced from their homes. The objective of the study was to provide information on the dietary adequacy of a newly identified subgroup of homeless persons, single women and their dependent children. Once situated in temporary housing, those participating in the study indicated that they believed that they were receiving sufficient food. However, a nutrient analysis found that the study subjects in all age groups were consuming less than 50 percent of the 1989 Recommended Dietary Allowances (RDA) for iron, magnesium, zinc, and folic acid. Adults were consuming less than 50 percent of the RDA for calcium. The type and amounts of fats consumed were in higher than desirable quantities for a significant number of subjects of all ages. The health risk factors of iron deficiency anemia, obesity, and hypercholesterolemia were prevalent. The findings indicate a need to examine and remedy nutrient intake deficiencies among single women who are heads of household and their dependent children in temporary housing situations. Diet-related conditions found included low nutrient intakes that may affect child growth and development, risk factors associated with chronic disease, and lack of appropriate foods and knowledge of food preparation methods in shelter situations. Applicable, understandable nutrition education should be offered mothers in shelter situations to help them make food choices at the shelter and when they become self-sufficient. Assistance programs such as the Special Supplemental Food Program for Women, Infants, and Children, and food stamps, should be available to this group.
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PMID:The nutritional status and dietary adequacy of single homeless women and their children in shelters. 159 41

Increased levels of various porphyrin species have been reported in sickle cell anemia (SS) patients in the absence of lead poisoning and iron deficiency anemia, but conflicting data remain. Suspecting that SS patients may be heterogenous for this abnormality, we have studied zinc protoporphyrin (ZPP) and protoporphyrin IX (PPIX) blood levels and find abnormally elevated levels of ZPP in those with low peripheral fetal hemoglobin (%HbF) levels. Two groups exist: one with less than 9% HbF and elevated ZPP, and one with greater than or equal to 9% HbF and normal ZPP levels (P less than 8.1 x 10(-4). There is a strong negative correlation of ZPP levels with %Hb F (r = -0.83, P less than 8.0 x 10(-5], and a moderate one with total hemoglobin levels (r = -0.55, P less than 0.05). These results suggest that ZPP may indeed contribute to the pathophysiology of the disease and/or serve as a marker of the severity of the disease.
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PMID:Blood zinc protoporphyrin is elevated only in sickle cell patients with low fetal hemoglobin. 170 26


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