بررسي ارزش تست درمان با آهن در تشخيص موارد آنميك فقر آهن در مقايسه با فريتين سرم و ساير تست هاي تاكيدكننده آنمي فقر آهن

A STUDY OF THE DIAGNOSTIC VALUE OF THERAPEUTIC TRIAL OF IRON (TTI) IN IRON DEFICIENCY ANEMIA (IDA) IN COMPARISON WITH SERUM FERRITIN LEVELS AND OTHER TESTS FOR CONFIRMATION OF IDA

Iron Deficiency Anemia (IDA) is the leading cause of anemia in the world . In the 6-24 months age group and infants fed mainly with cows milk , even very mild to moderate anemia can lead to future growth retardation in these children . In this diagnostic study , children between 6 months and 5 years of age who had been involved in the study for detecting the prevalence of IDA , and their serum hemoglobin (Hb) levels was low (<11 g/dl) were given a therapeutic trial of iron (TTI) . They were given 3mg/kg/day of oral ferrous sulphate for 3 weeks and their hemoglobin levels were measured again . Those children whose Hb levies had increased by lgrldl or more were considered as IDA cases. The results were compared with the results of the study for detection of the prevalence of IDA cases , and the results were as follows : 24 cases (72.7%) from the total of 33 cases were recognised as IDA by TTI , where as the ferritin test recognised only 14 cases (42.4%) with levels <12ng/ml as IDA. We, thus concluded that TTI is a very good diagnostic test , and in patients 5months - 5years old with mild to moderate anemia , TTI can be preformed before any other test.