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Query: UMLS:C0240066 (iron deficiency)
 7,156 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The anaemia resulting from iron deficiency is described as hypochromic in the medical literature. In the veterinary literature, anaemia of veal calves is usually regraded as normochromic. In order to examine the correctness of this view, the present authors studied the Hb and haematocrit (Hc) levels of the blood of veal calves in a comparative feeding trial for sixteen weeks. Three groups of male Dutch-Friesian calves, each group consisting of approximately thirty animals, were fed a milk replacer which contained 5, 10 or 25 ppm of iron respectively. The calculated mean Hb-concentration in the erythrocytes of the animals given 5 and 10 ppm of iron dropped during the trial period to below levels occurring at the age of two weeks. In the group given 25 ppm of iron, the erythrocyte Hb showed a rapid increase from the age of ten weeks and continuing throughout the rest of the trial period. At the age of sixteen weeks, the groups showed significant differences (P less than 0.01) in their mean erythrocyte Hb-concentrations. In veal calves, fed milkreplacers having an iron content below 25 ppm of Fe, the anaemia therefore is hypochromic.
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PMID:[Is anaemia of veal calves normochromic or hypochromic? (author's transl)]. 47 44

The aim of this investigation was to establish the relationship of cadmium-induced fetal growth retardation in the mouse to iron deficiency. Pregnant mice were either fed a low iron diet or given 40 ppm cadmium in their drinking water. The effects of these factors on fetal weight and hematological values of the fetuses and dams were established and compared, both with each other and with appropriate controls. Both treatments caused maternal and fetal anemia, the fetuses being more severely affected. The anemic fetuses were also severely growth retarded. These changes, when caused by the iron deficient diet, could be completely prevented by either parenterally or orally administered iron supplements. When the changes were caused by cadmium in the drinking water they were only partially prevented by oral supplements. From these results it was concluded that iron deficiency in pregnancy causes not only anemia but also fetal growth retardation. Cadmium exposure in pregnancy, presumably by blocking intestinal absorption of iron, also causes anemia and hence fetal growth retardation.
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PMID:Iron deficiency and its role in cadmium-induced fetal growth retardation. 47 57

The folacin and iron status and hemotological parameters of 193 persons 60 years of age and older from urban low-income households were evaluated. Of the serum folacin values 30% were between 3 and 6 ng/ml and 8% were below 3 ng/ml. Of these subjects 60% could be classified as "high risk" (less than 140 ng/ml) and 11% as "medium risk" (140 to 160 ng/ml) based on red blood cell folacin concentrations. Serum iron was normal (greater than 50 micrograms/dl) for all subjects as was transferrin saturation (greater than 15%). Hematological indices showed a 14% incidence of anemia (hemaglobin less than 12 g/dl), and 32% incidence of leukopenia (leukocytes less than 4.8 X 10(3)). These findings demonstrate widespread folacin deficiency and no evidence of iron deficiency in these elderly people.
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PMID:Folacin and iron status and hematological findings in predominately black elderly persons from urban low-income households. 49 52

Treatment of severe iron deficiency with iron-poly(sorbitol-gluconic acid) complex (Ferastral) intramuscular 10 ml (iron 500 mg) on alternate days has been shown highly effective and well tolerated. In order to see whether the time of treatment could be shortened, 20 Nigerians with severe iron deficiency (mostly from hookworm infection) were treated with daily intramuscular Ferastral 10 ml until their calculated total requirement of iron was met. The total iron deficit was 877-2763 mg (mean 1875 mg). Supportive treatment included antimalarials, folic acid and anthelmintics. No patient complained of undue pain at injection sites or of any other undesirable side-effects. There was no evidence of hepatic or renal toxicity in any patient, including eight who were followed at intervals up to eight weeks from the start of treatment. The initial haemoglobin (Hb) level was 2.2-7.8 g/dl (mean 4.6 g/dl). Daily regeneration of Hb in the first 14 days was 0.12-0.49 g/dl (mean 0.30 g/dl), and haematological indices were generally normal by eight weeks. Recovery was slow or incomplete in six patients, all of whom had complications other than iron deficiency. Serum iron was measured in five patients, rose to around 8000 micrograms/dl on about day 4, and fell to physiological levels by day 14. The serum unsaturated iron binding capacity fell to nil in five out of six patients on around day 3, and reappeared between days 7 and 10. Five patients who had persistent blood loss from continued hookworm infestation received a further single dose of Ferastral (iron 1000 mg) 10 ml into each buttock after four weeks, and one patient after two weeks. This large dose was also acceptable to patients if given slowly; it was followed by an accelerated Hb regeneration, but no toxicity. Daily intramuscular Ferastral 10 ml until the calculated iron requirements are met (usually in less than five days) is recommended for the treatment of severe iron deficiency. Patients with continued blood loss or Hb less than 10 g/dl after four weeks without other cause of anaemia, may receive a boost of one intramuscular injection of Ferastral 20 ml (10 ml into each buttock).
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PMID:Treatment of iron deficiency in Nigerians with daily intramuscular Ferastral. 49 69

Serum lipids were studied in iron-deficient and control rats during suckling and after weaning at 21, 30, and 60 days of age. Diets providing 5 or 307 ppm iron were fed to dams and their offspring during gestation, lactation, and after weaning. Rats on the deficient diet throughout the experimental period developed a hyperlipidemia characterized by elevated triglycerides, cholesterol, and phospholipids which was present at 21, 30, and 60 days. Control pups weaned to the deficient diet developed anemia at 30 days of age and hypertriglyceridemia at 60 days of age. Repletion of deficient rats with iron after weaning caused a rapid decline in serum lipid levels after only 9 days on the control diet. The hyperlipidemia of iron deficiency thus appears to be reversible with iron supplementation. The time required to develop hypertriglyceridemia in iron deficiency is longer postweaning than during suckling.
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PMID:Serum lipids in suckling and post-weanling iron-deficient rats. 51 75

A total of 4939 apparently healthy Fijian and Indian subjects living in Fiji were tested for anaemia by determination of the microhaematocrit of a sample of capillary blood. The prevalence of anaemia during childhood varied with age but was similar for Fijians and Indians of either sex. The overall prevalences were: 0-4 years, 20.3%; 5-9 years, 3.7%; 10-14 years, 23.5%. The prevalence of anaemia among Indian women (33.3%) was substantially higher than that for Indian men (6.9%), Fijian women (8.1%) or Fijian men (6.8%). Iron deficiency was the most common cause of anaemia and was established by laboratory studies in 203 (68%) of 298 anaemic subjects who were followed up. Iron deficiency was an important aetiological factor in 91 (93%) of 98 subjects with moderate or severe anaemia. Folate deficiency was found, usually in combination with iron deficiency, in 44 or 141 anaemic indian adults were followed up. Folate deficiency was uncommon in Fijian adults and among children of either race. Two cases of nutritional vitamin B12 deficiency, one case of pernicious anaemia, 6 cases of heterozygous thalassaemia and one case of heterozygous haemoglobin E were found among the anaemic Indian subjects. No cases of vitamin B12 deficiency anaemia, thalassaemia or haemoglobinopathy were detected among the Fijians. In 5 Indians and 7 Fijians the anaemia was associated with an underlying chronic disorder. This study emphasizes that in Fiji, as in other developing countries, nutritional anaemia is prevalent among asymptomatic subjects. Iron deficiency is by far the most common cause.
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PMID:The prevalence and nature of anemia among apparently normal subjects in Fiji. 52 78

This work analyzes the possible causes of anemia in 2 groups of pregnant women observed in 2 different hospitals in Mexico City; 1 group of 216 patients, and another group of 121 women who were already in labor. Women in the first group were short, of low schooling, high gestation and parity, and high incidence of previous fetal losses. Women in the second group were taller, slightly better educated, but still with high gestation and parity, and high incidence of fetal lossed. Hematological data collected included hemoglobin level, packed cell volume, RBC folates, serum assay of iron, total iron binding capacity, and albumin. 23% of patients in the first group, and 17% in the 2nd. group were found to be anemic; the percentage rose to 49% and 35% respectively if patients with low hemoglobin level were also considered to be anemic. The principal finding of the study was that iron deficiency was present in 53% of cases of anemia, and that it was probably to be ascribed to nutritional deficiencies.
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PMID:[Anemia in pregnancy. II. Hematologic and obstetric data in pregnant women attending two Mexican institutions (author's transl)]. 52 57

Main objective of this study is to determine variables related to body build and blood status of three different ethnic groups inhabiting the same locality in Northern Nigeria. Of a stratified sample of the adult male population of a village community anthropometric measurements were taken. Body build of full grown men of each of the local Fulani, Hausa and Maguzawa tribes was recorded. This included height, weight, total and muscle arm-circumference, triceps and biceps skinfolds and the determination of the Quetelet and Ponderal indices. Fulani have the same stature as Hausa and Maguzawa but they have a more linear body type, less body mass, a lesser triceps skinfold, a lower Quetelet but a higher Ponderal index. The caloric intake of the local population is considered marginally sufficient, especially for Fulani, who may have a higher energy expenditure. Malaria and Schistosoma haematobium infections are highly endemic in the area and deteriorate the nutritional state. This is more evident in Hausa and Maguzawa than in Fulani, as is a degree of anaemia probably due to iron deficiency. In the Fulani the interaction of diet and infection appears to be more complex.
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PMID:Body bulid and nutritional status of three ethnic groups inhabiting the same locality in Northern Nigeria. 52 49

Administration of oral ferrous salts is the preferred method of treatment for anemia due to iron deficiency. However, in certain clinical situations, the response to oral therapy may be suboptimal. Parenteral iron therapy is effective in these instances and may produce a faster response than the oral route.Of 30 patients treated by total dose intravenous infusion of iron-dextran, a prompt reticulocytosis occurred in all patients except one case associated with systemic lupus erythematosus. Hematologic improvement in this case followed remission of the systemic lupus erythematosus. Hematologic response was complete in 18 patients in five to nine weeks, but could not be evaluated in 11 cases because of recurrent bleeding. There were two adverse reactions: generalized pruritus after injection in one patient, and superficial thrombophlebitis at the injection site of another.The response to therapy in iron deficient anemia is dependent on bone marrow capacity, the severity of the anemia, and the availability of iron. Response was fastest in those who had been severely anemic for prolonged periods of time. Total dose infusion with iron-dextran is a safe and effective treatment for iron deficient anemia in selected cases. Initial response appears to be faster than that on oral therapy with the exception of those with a mild degree of anemia.
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PMID:Intravenous iron-dextran in the treatment of iron deficient anemia. 52 11

The sickle-cell gene contributes substantially to the presentation of anaemia in certain areas of the Arabian Peninsula. However, the clinical presentation of the homozygous state of Hb S is less severe than that observed in other ethnic groups, such as American negroes. In the present paper, biosynthesis studies performed on reticulocytes from heterozygotes and homozygotes for the Hb S give further indications of the mild nature of sickle-cell disease in Arabia. Comparison of two affected families, from Saudi Arabia and Jordan, showed that clinical manifestation of the disease is mirrored by the biochemical and haematological findings in affected individuals. The results are discussed in terms of the effect of co-existing thalassaemia and/or iron deficiency with Hb S. It is suggested that both genetic and acquired conditions play a role in the clinical features of the disease. The mechanisms responsible for regulation of alpha-chain synthesis by iron (haem) deficiency are discussed.
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PMID:On the nature of sickle-cell disease in the Arabian Peninsula. 53 90


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