The association between iron deficiency anemia and febrile seizure

Parviz Karimi1, Koroush Sayehmiri2, Milad Azami3

  • 1Department of Pediatric Diseases, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran.

Insights

Iron deficiency anemia (IDA) may protect against febrile seizures (FS) in children. IDA was more prevalent in children with afebrile seizures, suggesting a potential protective role against FS.

Area of Science:

  • Pediatrics
  • Neurology
  • Hematology

Background:

  • Contradictory findings exist regarding the association between iron deficiency anemia (IDA) and febrile seizures (FS).
  • Understanding this relationship is crucial for pediatric health management.

Purpose of the Study:

  • To investigate the effect of IDA on the occurrence of FS in children.
  • To clarify the association between IDA and different seizure types in pediatric patients.

Main Methods:

  • A case-control study involving 52 children with FS, 18 with afebrile seizures, and 51 with fever without seizures (ages 6 months to 5 years).
  • Blood parameters including hemoglobin, hematocrit, ferritin, and red blood cell indices were measured.
  • Statistical analysis was performed to compare IDA prevalence and seizure risk.

Main Results:

  • IDA prevalence was 34.6% in the FS group, 66.7% in the afebrile seizure group, and 41.2% in the fever without seizure group; no statistically significant difference was found between groups.
  • Children with FS had higher hemoglobin, hematocrit, and RBC levels, and lower MCV, MCH, and MCHC levels compared to controls.
  • The odds ratio for FS compared to febrile group was 0.756 (p=0.493), and compared to seizure group was 0.265 (p=0.022).

Conclusions:

  • IDA may exert a protective effect against the onset of febrile seizures in children.
  • IDA appears to be more common in children experiencing afebrile seizures.
  • Further extensive research is recommended to confirm these findings.
Abstract

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