Iron deficiency anemia and thrombosis risk in children-revisiting an old hypothesis

Hannah Kalff1, Holger Cario2, Susanne Holzhauer1

  • 1Department of Pediatric Hematology and Oncology, Charité University Medicine, Berlin, Germany.

Frontiers in Pediatrics
|August 18, 2022
PubMed

Insights

Iron deficiency anemia in children increases the risk of arterial and venous thrombosis. Understanding this link is crucial for effective treatment and prevention strategies in pediatric patients.

Area of Science:

  • Pediatric Hematology
  • Thrombosis Research
  • Anemia Pathophysiology

Background:

  • Iron deficiency anemia (IDA) is prevalent in children.
  • IDA is a recognized risk factor for both arterial and venous thrombosis.
  • Understanding the link between IDA and thrombosis is clinically significant due to available effective therapies.

Purpose of the Study:

  • To summarize current evidence on the association between IDA and thrombosis.
  • To raise awareness of iron deficiency as a pediatric thrombosis risk factor.
  • To explore the translation of novel pathophysiological insights into clinical practice.

Main Methods:

  • Review of current scientific literature and clinical data.
  • Utilized an animal model of induced iron deficiency to investigate mechanisms.
  • Analysis of pathophysiological pathways linking iron restriction to hypercoagulability.

Main Results:

  • Iron deficiency anemia contributes to hypercoagulability.
  • Identified multiple mechanisms by which IDA promotes thrombus formation and progression.
  • Findings from animal models support conclusions drawn from clinical data.

Conclusions:

  • Iron deficiency anemia is a significant risk factor for thrombosis in children.
  • Novel pathophysiological concepts offer insights into clinical management.
  • Further clinical studies are needed for prevention and treatment strategies in high-risk pediatric groups.

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