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Association between iron deficiency anemia and first febrile convulsion: A case-control study
Elham Bidabadi1, Mehryar Mashouf
1Guilan University of Medical Sciences, No. 15, 135 ave., Golsar, Rasht 41658-55695, Iran. mashoof@mail.com
Insights
This study found iron deficiency anemia is less common in children with febrile convulsions. Iron deficiency does not appear to protect against febrile seizures in children.
Area of Science:
- Pediatrics
- Hematology
- Neurology
Background:
- The link between iron deficiency anemia and febrile convulsions is debated, with conflicting research findings.
- Iron status is a potential factor influencing the occurrence of febrile seizures in children.
Purpose of the Study:
- To investigate the relationship between iron status and the incidence of a first febrile convulsion in children.
- To clarify the role of iron deficiency in the development of febrile seizures.
Main Methods:
- A case-control study involving 200 children aged 6 months to 5 years diagnosed with their first febrile convulsion.
- A control group of febrile children without convulsions, matched for age and gender.
- Assessment of iron status markers including serum iron, plasma ferritin, and total iron-binding capacity (TIBC).
Main Results:
- Children with febrile convulsions showed higher levels of red blood cells (RBC), serum iron, and plasma ferritin, and lower TIBC compared to controls.
- Iron deficiency anemia was less frequent in the febrile convulsion group, though not statistically significant.
- The mean peak temperature was significantly higher in children experiencing febrile convulsions.
Conclusions:
- Iron deficiency anemia appears less prevalent in children with febrile convulsions.
- The study does not support a protective effect of iron deficiency against the development of febrile convulsions.
Objective:
The relationship between iron deficiency anemia and febrile convulsions has been examined in several studies with conflicting results. The authors aimed to evaluate the relation, if any, of iron status with first febrile convulsion.
Methods:
In this case-control study, the authors assessed 200 children with a diagnosis of first febrile convulsion, aged between 6 months and 5 years, during March 2005 to September 2006. The control group consisted of febrile children without convulsion; controls were matched to the cases by gender and age.
Results:
The patients and controls were 22.86+/-12.86 and 21.91+/-13.58 months of mean age, respectively. The amount of RBC, serum iron, and plasma ferritin were significantly higher, and TIBC was significantly lower among the cases with first febrile convulsions than in the controls. The amount of Hb, Hct, MCV, MCH, and MCHC were also higher among cases than controls, but differences were not statistically significant. Iron deficiency anemia was less frequent among the cases with febrile convulsion, as compared to the controls, and its difference was not statistically significant; but there is not a protective effect of iron deficiency against development of febrile convulsion (odd ratio=1.175). The mean of temperature peak on admission was significantly higher in the febrile convulsion group (38.74+/-0.76 degrees C) compared with the controls (38.2+/-0.67 degrees C) (P<0.0001).
Conclusions:
The results of this study suggest that iron deficiency anemia was less frequent among the cases with febrile convulsion, as compared to the controls, and there is not a protective effect of iron deficiency against febrile convulsions.
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