Sekonder demir yüklenmesi ile başvuran talasemi minörlü olgu
Küçük Resim Yok
Tarih
2004
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Demir yüklenmesi; doku hasarı olup olmadığına bakılmaksızın vucut demir depolarında artış olarak tanımlanır. Oral demir alımına bağlı sekonder demir yüklenmesi çok nadirdir. İç hastalıkları polikliniğine halsizlik yakınması ile başvuran, kliniğimizde yapılan tetkikler sonrası ß talasemi minör tanısı alan, 67 yaşında bayan hastaya demir eksikliği düşünülerek uzun süreli demir tedavisi verilmesine bağlı sekonder demir yüklenmesi saptanan olgunun literatür ışığında sunulması amaçlanmıştır. Sonuç olarak özellikle hipokrom mikrositer anemi nedeni dikkatlice irdelenmelidir. Ülkemizde talasemi taşıyıcılığı sıklığı göz önüne alınırsa demir tedavisine cevap vermeyen hipokrom mikrositer anemili hastalarda ayırıcı tanıda talasemi akılda tutulmalıdır.
Iron overload is defined as an increase on iron storage with or without tissue damage. Secondary iron overload induced by prolonged oral administration of iron-containing compounds are exceptionally rare. Sixty seven years old female patient admitted to our hospital with the complaint of weakness. She was diagnosed as ß thalassemia minor after laboratory evaluation. We determined secondary iron overload in this patient due to oral ingestion for a long time although not indicated. Iron deficiency anemia was misdiagnosed in place of thalassemia. In this report; This case was presented in the light of the literature. As a result; the cause of hypochromic microcyter anemia was carefully investigated. Thalassemia should be kept in mind for the differantial diagnosis of hypochrome microcyter anemia resistant to ıron therapy in our country that thalassemia carriage is frequent, like Turkey.
Iron overload is defined as an increase on iron storage with or without tissue damage. Secondary iron overload induced by prolonged oral administration of iron-containing compounds are exceptionally rare. Sixty seven years old female patient admitted to our hospital with the complaint of weakness. She was diagnosed as ß thalassemia minor after laboratory evaluation. We determined secondary iron overload in this patient due to oral ingestion for a long time although not indicated. Iron deficiency anemia was misdiagnosed in place of thalassemia. In this report; This case was presented in the light of the literature. As a result; the cause of hypochromic microcyter anemia was carefully investigated. Thalassemia should be kept in mind for the differantial diagnosis of hypochrome microcyter anemia resistant to ıron therapy in our country that thalassemia carriage is frequent, like Turkey.
Açıklama
Anahtar Kelimeler
Beta Talasemi, Demir Aşırı Yüklemesi, Anemi, Hipokromik Tanı
Kaynak
Medical Network Klinik Bilimler ve Doktor
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
6
