Association between iron deficiency anemia and febrile seizure in children

Hojjat Derakhshanfar1, Ali Abaskhanian, Hosein Alimohammadi

  • 1Pediatric Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Insights

Iron deficiency anemia may protect against febrile seizures in children. Anemia incidence was lower in children with febrile seizures compared to controls, suggesting a reduced risk.

Area of Science:

  • Pediatrics
  • Neurology
  • Hematology

Background:

  • Febrile convulsion (FC) is a common pediatric seizure type.
  • Iron deficiency is a potential trigger for FCs.
  • Iron deficiency anemia (IDA) is prevalent in children.

Purpose of the Study:

  • To investigate the association between iron deficiency anemia and febrile seizures in children.
  • To determine if IDA influences the risk of FC.

Main Methods:

  • A case-control study involving 500 children with FC (cases) and 500 febrile children without seizures (controls).
  • Participants aged 6-60 months, matched for age, gender, and iron supplementation.
  • Laboratory tests included Complete Blood Count (CBC), serum iron, plasma ferritin, and Total Iron Binding Capacity (TIBC).

Main Results:

  • Children with FC had significantly higher levels of hemoglobin, hematocrit, and iron-related markers compared to controls.
  • Total Iron Binding Capacity (TIBC) was significantly lower in the FC group.
  • The incidence of iron deficiency anemia was significantly lower in children with febrile seizures (p < 0.016).

Conclusions:

  • The study suggests a potentially protective role of anemia against febrile seizures.
  • Anemic children may have a lower risk of experiencing febrile seizures compared to non-anemic children.
Abstract

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