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[Specificity of ferrokinetics in children with enzymopathy of small intestine]
Insights
This study on pediatric intestinal enzymopathies found that anemia is common, often due to iron deficiency. Early detection of latent anemia in children relies on ferritin, transferrin saturation, and transferrin receptors.
Area of Science:
- Pediatric Gastroenterology
- Hematology
- Nutritional Deficiencies
Context:
- Investigated 154 children diagnosed with intestinal enzymopathies.
- Included celiac disease, multi-enzymatic deficiency syndrome, and disaccharidase deficiency syndrome.
- Assessed blood parameters and ferrokinetics to understand anemia prevalence.
Purpose:
- To characterize blood changes associated with intestinal enzymopathies in children.
- To identify the causes of anemia in this pediatric population.
- To determine the most sensitive indicators for early detection of latent anemia.
Summary:
- Children with intestinal enzymopathies exhibited decreased MCV, MCH, MCHC, and increased RDW.
- Anemia was primarily attributed to iron-deficiency erythropoiesis.
- Ferritin levels, transferrin saturation, and transferrin receptors proved most effective for detecting latent anemia.
Impact:
- Highlights the high prevalence of anemia in pediatric intestinal enzymopathies.
- Emphasizes the importance of iron status monitoring.
- Provides reliable biomarkers for early diagnosis of anemia, enabling timely intervention.
Abstract:
154 children with intestinal enzymopathies have been investigated. 57 of them were with celiac disease, 52--with multi-enzymatic deficiency syndrome (celiac + disaccharides deficiency), 45--with disaccharidase deficiency syndrome. The typical changes in blood of children with intestinal enzymopathies were presented in decreasing of MCV, MCH, MCHC and increasing of RDW. The study of ferrokinetics has shown that an anemia was caused by deficiency in many elements with predominance of iron-deficiency erythropoesis. The most sensitive and reliable indicators of early detection of latent anemia without decrease in hemoglobin level were ferritine content, the coefficient of saturation of transferrine and transferrin's receptors.
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