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[Iron deficiency : Recognition and treatment].

S von Haehling1,2, H Ottenjann3, S D Anker4,5,6,7

  • 1Klinik für Kardiologie und Pneumologie, Herzzentrum Göttingen, Universitätsmedizin Göttingen, Georg-August-Universität, Göttingen, Deutschland. stephan.von.haehling@web.de.

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Summary

Iron deficiency is often overlooked, impacting patient health and treatment outcomes. Early diagnosis and sufficient iron supplementation are crucial for managing chronic diseases and improving quality of life.

Keywords:
Ferritin, serumHeart failure, chronicInflammatory bowel diseasesIron, pharmaceutical preparations, intravenousTransferrin

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Area of Science:

  • Internal Medicine
  • Hematology

Background:

  • Iron deficiency is frequently underdiagnosed and undertreated in clinical practice.
  • This deficiency negatively affects patients' quality of life, exercise capacity, and response to treatments, particularly in chronic disease populations.

Purpose of the Study:

  • To outline key diagnostic parameters for detecting iron deficiency.
  • To present essential laboratory markers for iron deficiency assessment.
  • To highlight the importance of early and adequate iron supplementation in chronic diseases and review current treatment options.

Main Methods:

  • This is an overview article.
  • It synthesizes information on diagnostic parameters, laboratory assessments, and treatment strategies for iron deficiency.

Main Results:

  • Key diagnostic and laboratory parameters for identifying iron deficiency are detailed.
  • The necessity of timely and sufficient iron supplementation for various chronic conditions is emphasized.
  • An analysis of the risks and benefits associated with oral and intravenous iron therapies is provided.

Conclusions:

  • Underutilization of diagnostic and treatment options for iron deficiency has significant negative consequences.
  • Early and adequate iron supplementation is essential for patients with chronic diseases.
  • A comprehensive understanding of diagnostic tools and therapeutic options is vital for effective iron management.