Iron Chelator in Patients with Sickle Cell Anemia, Comparative Study

Background: the two main reasons for blood transfusion in sickle cell disease are to correct anemia so that the oxygen-carrying capacity of the blood is improved, and to treat or prevent painful vasoocclusive by lowering the proportion of sickle cell hemoglobin. Iron over load will be evitable. O...

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Bibliographic Details
Main Author: Talib Abduljaleel Jasim
Format: Article
Language:English
Published: University of Kufa, Faculty of Nursing 2014-12-01
Series:Kufa Journal for Nursing Sciences
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Online Access:https://journal.uokufa.edu.iq/index.php/kjns/article/view/2769
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Summary:Background: the two main reasons for blood transfusion in sickle cell disease are to correct anemia so that the oxygen-carrying capacity of the blood is improved, and to treat or prevent painful vasoocclusive by lowering the proportion of sickle cell hemoglobin. Iron over load will be evitable. Objectives: The aim of this study is to asses safety and efficiency of different chelation therapy. Methodology: Fifty two patients divided in to two equal group, for treatment by combined Deferoxamine-Deferasirox therapy and on Deferasirox alone. Results: both drug regimens proved to have no adverse effect on hepatic or renal function. The degree of descend of serum ferritin is significantly higher with combined Deferoxamine-Deferasirox therapy. Conclusion: combined chelating agents have significant effect on serum ferritin, with acceptable level of safety. Recommendation: combined therapy was safe regime and can be used with good efficacy for patients with iron over load.
ISSN:2223-4055
2521-8638