A Detailed Study Of Five Stages Of Iron Deficiency In Patients With Severe Anaemia Due To Hookworm Infection
Journal Title: International Journal of Scientific Research and Management - Year 2016, Vol 4, Issue 5
Abstract
Objective : A detailed study of 5 stages of iron deficiency was done in patients with severe anaemia due to hookworm infection . Methods : A study of 13 0 7 patients who had undergone upper gastro - intestinal endoscopy for a period of 5 years and o ne month from May 2009 to May 201 4 was carried out . In all the patients found to have hookworms in duodenum, investigations were done to know about the presence of anaemia. In patients with severe anaemia, peripheral smear examination was also done in addition to haemoglobin estimation . But in one patient with severe anaemia, serum ferritin, transferrin saturation,serum iron,mean corpuscular volume or MCV, mean corpuscular haemoglobin or MCH were also done in addition to ha emoglobin estimationand peripheral smear examination. Symptoms and signs of the patient were also noted. The results were found as given below. Results : In one patient with severe anaemia due to hookworm infection, serum ferritin which indicate first stage of iron deficiency, transferrin saturation and serum iron which indicate second stage ,haemoglobin estimation which indicate third stage,mean corpuscular volume or MCV and mean corpuscular haemoglobin or MCH which indicate fourth stage of iron deficiency were all found to be very low The peripheral smear of the patient showed severe microcytic hypochromic anaemia which also indicate fourth stage of iron deficiency. The patient also had symptoms and signs of iron deficiency su ch as shortness of breath, weakness, dizziness, and pallor which indicate fifth or very late stage of iron deficiency . Conclusion: Hence estimation of serum ferritin ,transferrin saturation , serum iron, haemoglobin , mean corpuscular volume (MCV) and mean corp uscular hemoglobin (MCH) and symptoms and signs of iron deficiency indicate the various stages of iron deficiency in patients with severe anaemia due to hookworm infection
Authors and Affiliations
Govindarajalu Ganesan
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