Clinical and laboratory characteristics of refractory microcytic hypochromic anemia pediatric patients

Introduction Iron deficiency anemia (IDA) is a common disease responsible for a wide range of disability and morbidity especially in young children, and it can cause irreversible neurocognitive problems in the early one thousand days of life. Oral therapy is the most common type of drug used and is...

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Main Authors: Nesreen Abdelmoneim Mohamed Eliwa, Mostafa Ahmed Saeed Salama, Bothaina Abdel Fattah ElDomiaty, Reham Abdel Haleem Abo Elwafa, Yasmine Foutouh El Chazli
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Alexandria Journal of Medicine
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Online Access:https://www.tandfonline.com/doi/10.1080/20905068.2024.2424709
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author Nesreen Abdelmoneim Mohamed Eliwa
Mostafa Ahmed Saeed Salama
Bothaina Abdel Fattah ElDomiaty
Reham Abdel Haleem Abo Elwafa
Yasmine Foutouh El Chazli
author_facet Nesreen Abdelmoneim Mohamed Eliwa
Mostafa Ahmed Saeed Salama
Bothaina Abdel Fattah ElDomiaty
Reham Abdel Haleem Abo Elwafa
Yasmine Foutouh El Chazli
author_sort Nesreen Abdelmoneim Mohamed Eliwa
collection DOAJ
description Introduction Iron deficiency anemia (IDA) is a common disease responsible for a wide range of disability and morbidity especially in young children, and it can cause irreversible neurocognitive problems in the early one thousand days of life. Oral therapy is the most common type of drug used and is more convenient and cost-effective. Some patients had anemia that is refractory to oral iron therapy.Subjects and Methods A total of 102 patients with refractory anemia were enrolled during the period from July 2021 to end of June 2023.Results Out of 102 patients, only 42 had IDA, and 30 patients were thalassemia carrier (23 alpha thalassemia, 7 beta thalassemia), while other patients had different causes for anemia. The most commonly used oral drug was iron hydroxide polymaltose, used in 71.6% of cases, while liposomal iron use is still not widely prevalent among physicians and patients.Conclusion Many causes of IDA are present, and patients should be well assessed before considered iron refractory.
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issn 2090-5068
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series Alexandria Journal of Medicine
spelling doaj-art-38698decbd5f415ca64b7b6ba37edd512025-08-22T11:30:21ZengTaylor & Francis GroupAlexandria Journal of Medicine2090-50682090-50762025-12-01611444910.1080/20905068.2024.2424709Clinical and laboratory characteristics of refractory microcytic hypochromic anemia pediatric patientsNesreen Abdelmoneim Mohamed Eliwa0Mostafa Ahmed Saeed Salama1Bothaina Abdel Fattah ElDomiaty2Reham Abdel Haleem Abo Elwafa3Yasmine Foutouh El Chazli4Department of Pediatrics, Alexandria University, EgyptDepartment of Pediatrics, Alexandria University, EgyptDepartment of Pediatrics, Alexandria University, EgyptDepartment of Clinical and Chemical Pathology, Alexandria University, EgyptDepartment of Pediatrics, Alexandria University, EgyptIntroduction Iron deficiency anemia (IDA) is a common disease responsible for a wide range of disability and morbidity especially in young children, and it can cause irreversible neurocognitive problems in the early one thousand days of life. Oral therapy is the most common type of drug used and is more convenient and cost-effective. Some patients had anemia that is refractory to oral iron therapy.Subjects and Methods A total of 102 patients with refractory anemia were enrolled during the period from July 2021 to end of June 2023.Results Out of 102 patients, only 42 had IDA, and 30 patients were thalassemia carrier (23 alpha thalassemia, 7 beta thalassemia), while other patients had different causes for anemia. The most commonly used oral drug was iron hydroxide polymaltose, used in 71.6% of cases, while liposomal iron use is still not widely prevalent among physicians and patients.Conclusion Many causes of IDA are present, and patients should be well assessed before considered iron refractory.https://www.tandfonline.com/doi/10.1080/20905068.2024.2424709Iron deficiencymicrocytic hypochromicthalassemia
spellingShingle Nesreen Abdelmoneim Mohamed Eliwa
Mostafa Ahmed Saeed Salama
Bothaina Abdel Fattah ElDomiaty
Reham Abdel Haleem Abo Elwafa
Yasmine Foutouh El Chazli
Clinical and laboratory characteristics of refractory microcytic hypochromic anemia pediatric patients
Alexandria Journal of Medicine
Iron deficiency
microcytic hypochromic
thalassemia
title Clinical and laboratory characteristics of refractory microcytic hypochromic anemia pediatric patients
title_full Clinical and laboratory characteristics of refractory microcytic hypochromic anemia pediatric patients
title_fullStr Clinical and laboratory characteristics of refractory microcytic hypochromic anemia pediatric patients
title_full_unstemmed Clinical and laboratory characteristics of refractory microcytic hypochromic anemia pediatric patients
title_short Clinical and laboratory characteristics of refractory microcytic hypochromic anemia pediatric patients
title_sort clinical and laboratory characteristics of refractory microcytic hypochromic anemia pediatric patients
topic Iron deficiency
microcytic hypochromic
thalassemia
url https://www.tandfonline.com/doi/10.1080/20905068.2024.2424709
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