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Iron supplementation reduces the frequency and severity of breath-holding attacks in non-anaemic children
1Department of Paediatrics, Teaching and Research Unit, The University of Newcastle Gosford Hospital, Gosford, Australia.
Insights
Oral iron supplementation can effectively treat breath-holding attacks (BHAs) in children, even those without iron deficiency. This safe and cost-effective intervention improves quality of life for affected families.
Area of Science:
- Pediatric Medicine
- Hematology
- Clinical Case Studies
Background:
- Breath-holding attacks (BHAs) are common in children, often linked to iron deficiency.
- The efficacy of iron supplementation for BHAs in non-iron-deficient Westernized children is not well-established.
- Current clinical guidelines lack clarity on iron supplementation for BHAs in this specific demographic.
Observation:
- This study presents a case series of iron-replete children experiencing frequent and disabling BHAs.
- These children received oral iron supplementation as an intervention.
- Clinical observations focused on the frequency, severity, and impact of BHAs before and after supplementation.
Findings:
- All reported cases showed a positive response to oral iron supplementation.
- A significant reduction in the frequency and severity of BHAs was observed.
- No adverse effects or complications were reported during the supplementation period.
Implications:
- Oral iron supplementation may be a safe and effective treatment for BHAs in children, irrespective of iron status.
- This intervention offers a cost-effective solution, potentially reducing healthcare resource utilization.
- Improved quality of life for both children with BHAs and their caregivers is a significant outcome.
Abstract:
Iron supplementation reduces the frequency and severity of breath-holding attacks (BHAs), particularly in children with iron deficiency. The issue of iron supplementation is less clear for Westernized children with BHAs who present to an outpatient community clinic and are not iron-deficient. This is the first reported case series of iron-replete children with frequent and disabling breath-holding attacks who have responded to a course of oral iron supplementation. This intervention is safe, improves quality of life for both child and carer, and is significantly cost-effective in terms of health resource utilization.
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