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Iron deficiency anaemia--a risk factor for febrile seizures in children
Ahmad Sherjil1, Zaheer us Saeed, Sohail Shehzad
1Department of Paediatrics, HIT Hospital, Taxila, Cantt, Pakistan. drahmadsherjil@yahoo.com
Insights
Children with febrile seizures are nearly twice as likely to have iron deficiency anaemia. This study investigated the link between iron deficiency anaemia and febrile seizures in pediatric patients.
Area of Science:
- Pediatrics
- Hematology
- Neurology
Background:
- Iron deficiency anaemia (IDA) and febrile seizures (FS) are prevalent pediatric conditions globally.
- Iron insufficiency can manifest as neurological symptoms, including behavioral changes and cognitive deficits.
- A potential association between IDA and FS in children warrants investigation.
Purpose of the Study:
- To determine the association between iron deficiency anaemia and febrile seizures in children.
- To compare the prevalence of IDA in children with and without febrile seizures.
Main Methods:
- A multicenter case-control study involving 310 children aged 6 months to 6 years.
- Cases comprised 157 children with febrile seizures; controls included 153 children with febrile illnesses without seizures.
- Iron deficiency anaemia was assessed using hemoglobin, serum ferritin, MCHC, and MCV levels.
Main Results:
- 31.85% of children with febrile seizures had iron deficiency anaemia.
- 19.6% of children without febrile seizures had iron deficiency anaemia.
- The odds ratio for IDA in children with febrile seizures was 1.93.
Conclusions:
- Children experiencing febrile seizures have a 1.93 times higher likelihood of having iron deficiency anaemia.
- The findings suggest a significant association between iron deficiency anaemia and febrile seizures in pediatric populations.
- Early detection and management of iron deficiency may be crucial in preventing febrile seizures.
Background:
Iron deficiency anaemia and febrile seizures are two common diseases in children worldwide as well as in our country. Iron insufficiency is known to cause neurological symptoms like behavioural changes, poor attention span and learning deficits in children. Therefore, it may also be associated with other neurological disturbances like febrile seizures in children. Objective of our case-control study was to find association between iron deficiency anaemia and febrile seizures in children.
Methods:
This multicentre study was conducted in Department of Paediatrics HIT Hospital Taxila Cantt, Department of Paediatrics CMH Mangla and Department of Paediatrics POF Hospital Wah Cantt, from June 2008 to June 2010. Three hundred and ten children aged between 6 months to 6 years were included in the study. One hundred and fifty-seven children who presented with febrile seizures were our cases, while, 153 children who presented with febrile illnesses without seizures were recruited as controls. All patients were assessed for iron deficiency anaemia by measuring haemoglobin level, serum ferritin level, Mean Corpuscular Haemoglobin Concentration (MCHC) and Mean Corpuscular Volume (MCV). Patients with iron deficiency anaemia amongst controls and cases were documented. Percentages and Odds ratio were derived from the collected data.
Results:
31.85% of cases (50 out of 157) had iron deficiency anaemia whereas, 19.6% of controls (30 out of 153) were found to have iron deficiency anaemia as revealed by low levels of haemoglobin level, serum ferritin level. Mean Corpuscular Haemoglobin Concentration and Mean Corpuscular Volume. Odds ratio was 1.93.
Conclusion:
Patients with febrile seizures are 1.93 times more likely to have iron deficiency anaemia compared to febrile patients without seizures.
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