Role of sickling crisis with serum zinc in children with sickle cell anemia

Background and objectives: Sickle cell anemia causes painful crises by the occlusion of small blood vessels by spontaneous intravascular sickling. The aim of this study is to determine the possible association of Zinc deficiency with painful crises among patients with sickle cell anemia. Methods...

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Main Authors: Bahzad Khalid Sharaf, Akrem Mohammad Atrushi
Format: Article
Language:English
Published: Kurdistan Higher Council Of Medical Specialties 2022-06-01
Series:Advanced Medical Journal
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Online Access:https://amj.khcms.edu.krd/index.php/main/article/view/18
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author Bahzad Khalid Sharaf
Akrem Mohammad Atrushi
author_facet Bahzad Khalid Sharaf
Akrem Mohammad Atrushi
author_sort Bahzad Khalid Sharaf
collection DOAJ
description Background and objectives: Sickle cell anemia causes painful crises by the occlusion of small blood vessels by spontaneous intravascular sickling. The aim of this study is to determine the possible association of Zinc deficiency with painful crises among patients with sickle cell anemia. Methods: A case-control study included 50 children with sickle cell anemia during a painful crisis, 50 with Sickle cell anemia without a painful crisis, and 50 normal children (control group). Serum zinc was measured for all participants and statistically analyzed to test the presence of a possible significant relation between serum zinc and painful crises in sickle cell anemia.   Results: The mean age of all study population was 9.79 ± 4.54 years and male to female ratio was 1.2:1. Weight, height, body mass index, Hemoglobin, and packed cell volume are lower in those with sickle cell anemia as compared to controls but the difference is not statistically significant. White blood cell count is significantly higher in those with sickle cell anemia and painful crisis than in those with sickle cell anemia but with no painful crisis and the normal controls. Liver enzymes alanine aminotransferase and aspartate aminotransferase are significantly higher among patients than in controls. Serum zinc is lower in patients with sickle cell anemia and painful crisis than in those with sickle cell anemia but without painful crisis and the normal controls (88.84±31.20, 98.62±20.78, 101.38±24.49 µg/dl respectively) and the difference is statistically significant. Conclusion: Zinc deficiency is significantly associated with predisposition to painful crises in children with sickle cell anemia.
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spelling doaj-art-92866d81bd084cf08e3d8ab2ddd507922025-08-20T03:10:30ZengKurdistan Higher Council Of Medical SpecialtiesAdvanced Medical Journal2958-89792957-35802022-06-016210.56056/amj.2022.13618Role of sickling crisis with serum zinc in children with sickle cell anemiaBahzad Khalid Sharaf0Akrem Mohammad Atrushi1Heevi Pediatric Teaching HospitalAssist. Prof. College of Medicine/University of Duhok Background and objectives: Sickle cell anemia causes painful crises by the occlusion of small blood vessels by spontaneous intravascular sickling. The aim of this study is to determine the possible association of Zinc deficiency with painful crises among patients with sickle cell anemia. Methods: A case-control study included 50 children with sickle cell anemia during a painful crisis, 50 with Sickle cell anemia without a painful crisis, and 50 normal children (control group). Serum zinc was measured for all participants and statistically analyzed to test the presence of a possible significant relation between serum zinc and painful crises in sickle cell anemia.   Results: The mean age of all study population was 9.79 ± 4.54 years and male to female ratio was 1.2:1. Weight, height, body mass index, Hemoglobin, and packed cell volume are lower in those with sickle cell anemia as compared to controls but the difference is not statistically significant. White blood cell count is significantly higher in those with sickle cell anemia and painful crisis than in those with sickle cell anemia but with no painful crisis and the normal controls. Liver enzymes alanine aminotransferase and aspartate aminotransferase are significantly higher among patients than in controls. Serum zinc is lower in patients with sickle cell anemia and painful crisis than in those with sickle cell anemia but without painful crisis and the normal controls (88.84±31.20, 98.62±20.78, 101.38±24.49 µg/dl respectively) and the difference is statistically significant. Conclusion: Zinc deficiency is significantly associated with predisposition to painful crises in children with sickle cell anemia. https://amj.khcms.edu.krd/index.php/main/article/view/18Painful; CrisisZincSickleOcclusion
spellingShingle Bahzad Khalid Sharaf
Akrem Mohammad Atrushi
Role of sickling crisis with serum zinc in children with sickle cell anemia
Advanced Medical Journal
Painful; Crisis
Zinc
Sickle
Occlusion
title Role of sickling crisis with serum zinc in children with sickle cell anemia
title_full Role of sickling crisis with serum zinc in children with sickle cell anemia
title_fullStr Role of sickling crisis with serum zinc in children with sickle cell anemia
title_full_unstemmed Role of sickling crisis with serum zinc in children with sickle cell anemia
title_short Role of sickling crisis with serum zinc in children with sickle cell anemia
title_sort role of sickling crisis with serum zinc in children with sickle cell anemia
topic Painful; Crisis
Zinc
Sickle
Occlusion
url https://amj.khcms.edu.krd/index.php/main/article/view/18
work_keys_str_mv AT bahzadkhalidsharaf roleofsicklingcrisiswithserumzincinchildrenwithsicklecellanemia
AT akremmohammadatrushi roleofsicklingcrisiswithserumzincinchildrenwithsicklecellanemia