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The Relationship Between Iron Deficiency and Febrile Convulsion: A Case-Control Study
Mohammad Reza Sharif1, Davood Kheirkhah, Mahla Madani
1Associate professor, Department of Pediatrics, Kashan University of Medical Sciences, Kashan, I.R. Iran.. hamedir2010@gmail.com.
Insights
Children with febrile seizures have a significantly higher rate of iron deficiency anemia. Low iron levels and anemia may be contributing factors to febrile seizures in pediatric patients.
Area of Science:
- Pediatrics
- Hematology
- Neurology
Background:
- Febrile seizures affect 2-5% of children aged 3-60 months.
- Iron deficiency anemia is a potential risk factor for febrile seizures.
- This study investigated the link between iron deficiency anemia and febrile seizures.
Purpose of the Study:
- To compare the prevalence of iron deficiency anemia in children with febrile seizures versus those with fever but no seizures.
- To determine if iron deficiency anemia is associated with an increased risk of febrile seizures.
Main Methods:
- A case-control study involving 200 children (6-60 months old).
- Participants were divided into two groups: 100 with febrile seizures and 100 with fever without convulsions.
- Complete blood count (CBC), serum iron, and total iron-binding capacity (TIBC) were analyzed to diagnose iron deficiency anemia.
Main Results:
- No significant differences in age, gender, or fever-causing illness between groups.
- Iron deficiency anemia was present in 45% of children with febrile seizures compared to 22% in the control group.
- A statistically significant difference in iron deficiency anemia rates was observed between the two groups.
Conclusions:
- A substantial proportion of children experiencing febrile seizures have iron deficiency anemia and low serum iron.
- Low serum iron and anemia may act as reinforcing factors for febrile seizures in children.
- These findings highlight the importance of assessing iron status in children with febrile seizures.
Introduction:
Febrile seizure is among the most common convulsion disorders in children, which strikes 2% to 5% of children between 3 to 60 months of age. Some studies have reported that iron deficiency could be a risk factor for febrile seizure. The present study was conducted to compare the rate of iron deficiency anemia in febrile children with and without seizure.
Materials And Methods:
This case-control study evaluated 200 children aged 6-60 month in two 100 person groups (febrile seizure and febrile without convulsion) in Kashan. The CBC diff, serum iron and TIBC were done for all of participants. Diagnosis of iron deficiency anemia based on mentioned tests.
Results:
No significant differences were found in two groups regarding to the age, gender, and the disease causing the fever. The presence of iron deficiency anemia was 45% in the convulsion group and 22% in the group with fever without convulsion. The Chi Square test indicated a significant difference between two groups.
Conclusions:
The findings suggest that a considerable percentage of children having febrile seizure suffer from iron-deficiency anemia and low serum iron. This means the low serum iron and presence of anemia can serve as a reinforcing factor for the febrile seizure in children.
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