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Iron status and febrile seizure- a case control study in children less than 3 years
Mansour Sadeghzadeh1, Parisa Khoshnevis Asl1, Esrafil Mahboubi2
1Assistant Professor of Pediatric, Department of Pediatrics, Zanjan University of Medical Sciences, Zanjan, Iran.
Insights
Iron deficiency, not anemia, is more common in children experiencing febrile seizures. This study found a higher prevalence of iron deficiency indicators in children with febrile seizures compared to healthy controls.
Area of Science:
- Pediatric Neurology
- Hematology
Background:
- Febrile seizures are common childhood neurological events.
- Iron deficiency anemia is a proposed, though not fully understood, factor in febrile seizure pathogenesis.
Purpose of the Study:
- To investigate the association between iron deficiency anemia and febrile seizures in children aged 6 months to 3 years.
- To compare iron status markers in children with febrile seizures versus a healthy control group.
Main Methods:
- Assessed hemoglobin (Hb), mean corpuscular volume (MCV), serum iron (SI), total iron binding capacity (TIBC), and SI/TIBC ratio.
- Compared 100 children with febrile seizures to 100 healthy children.
Main Results:
- Iron deficiency anemia prevalence was similar (6%) in both febrile seizure and control groups.
- A significantly higher proportion (58%) of children with febrile seizures had an SI/TIBC ratio below 12% compared to controls (29%).
Conclusions:
- While anemia was not a distinguishing factor, iron deficiency, indicated by a low SI/TIBC ratio, was more prevalent in children with febrile seizures.
- This suggests a potential link between iron deficiency and febrile seizures in young children.
Objective:
Febrile seizure is one of the most common neurological conditions of childhood. Several theories, such as iron deficiency anemia have been proposed as the pathogenesis of this condition. The aim of this study was to find the association between iron deficiency anemia and febrile seizures in children aged 6 months to 3 years admitted in Valie Asr hospital in Zanjan.
Materials &Methods:
Hemoglobin (Hb), mean corpuscular volume (MCV), serum iron (SI), total iron binding capacity (TIBC) and SI/TIBC ratio were assessed in one hundred children with febrile seizures and compared to the values of one hundred healthy children presenting in a heath care center in the same period as the control group.
Results:
A total of 6% of cases had iron deficiency anemia which was similar to the control group. In the case group SI/TIBC ratio below 12% was seen in 58% of children which was significantly higher than that of the control group (29%).
Conclusion:
The results of this study suggest that although anemia was not common among febrile seizure patients, iron deficiency was more frequent in these patients.
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