IRON DEFICIENCY ANAEMIA IN MODERATE TO SEVERELY ANAEMIC PATIENTS
Abstract
Background: Anaemia is defined as a clinical abnormality characterized by reduction inhaemoglobin concentration below the normal for age, sex, physiological condition and altitude
from the sea level of a person. It can be of different types, the commonest being iron deficiency
anaemia which affects mostly pregnant and lactating females and growing children in the
developing world. The present study was conducted at Ayub Teaching Hospital on this problem of
global importance. Methods: One hundred consecutive anaemic patients were selected from Ayub
Teaching Hospital. After detailed history and examination, preliminary blood tests including full
blood counts, platelets count, retics count, absolute blood values and blood film examination (all
tests done by visual method) were done in the laboratories of Ayub Teaching Hospital and Ayub
Medical College, Abbottabad. A clinical diagnosis was made based upon the findings of history,
examination and blood tests. In patients suspected to have iron deficiency anaemia, serum iron
studies (i.e. serum iron, Total iron binding capacity (TIBC) and serum ferritin) were done to
confirm the diagnosis. Results: Sixty eight patients were found to have iron deficiency anaemia.
Females were affected more than the males. Female to male ratio being 1:5:1. Majority of the
patients (82.2%) were aged 21-60 years. However, there were two peaks (21% & 25%) in age
groups 21-30 and 41-50 respectively. Based upon serum ferritin concentrations, most of the
patients were found to suffer from moderate iron deficiency anaemia (53%).Conclusion: Iron
deficiency anaemia is the commonest type of anaemia in our area. It is more common in females.
It is more common in age group 21-60 years, with two peaks, one in 21-30 years and the other in
41-50 years.
Key Words: Anemia, Iron deficiency, Ferritin
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