Subclinical renal abnormalities in young thalassemia major and intermedia patients and its relation to chelation therapy
المؤلفون المشاركون
Adli, Amirah A. M.
Toaima, Dalia N.
Muhammad, Nuha Rafat
Abu al-Suud, Karim Muhammad
المصدر
The Egyptian Journal of Medical Human Genetics
العدد
المجلد 15، العدد 4 (31 أكتوبر/تشرين الأول 2014)، ص ص. 369-377، 9ص.
الناشر
الجمعية المصرية للأمراض الوراثية
تاريخ النشر
2014-10-31
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الموضوعات
الملخص EN
Background : Limited data are available about renal involvement in thalassemia patients.
Renal dysfunction in these patients seems to be multifactorial attributed mainly to long standing anemia, chronic hypoxia, iron overload and toxicity of iron chelators.
Objective : To assess the frequency of subclinical glomerular and tubular dysfunctions in children and adolescents with b-thalassemia major and intermedia, and to correlate these findings with the degree of iron overload and type of chelation therapy.
Methods : The study included 40 thalassemia major and 20 thalassemia intermedia pediatric patients recruited from the Pediatric hematology clinic, Ain Shams University.
Serum sodium, potassium, phosphorous and creatinine, and urinary sodium, potassium, phosphorous, protein / creatinine ratio and urinary b2 microglobulin were measured.
Fractional excretion of sodium and potassium was calculated.
Results : The mean level of serum creatinine in all patients was within the normal range and comparable in both TM and TI groups (0.17 ± 0.06 and 0.18 ± 0.07 mg / dl, respectively, P > 0.05).
The mean eGFR was higher than normal range in both TM and TI groups (552.65 ±231.73 and 472.15± 272.99 ml / min, respectively).
Mean level of urinary b2 microglobulin was within the normal range (0.13 ± 0.05 and 0.10 ± 0.03 lg / ml) in TM and TI patients, however, it was significantly higher in TM patients (P =0.009).
Urinary b2 microglobulin was positively correlated to both transfusion index and serum ferritin level (P < 0.05).
Tubular reabsorption of phosphorus (TRP) was significantly higher among TM patients (P = 0.037).
The mean height and height percentile were lower in the poorly chelated group (serum ferritin P2500 ng/ml) than the well chelated group.
In addition, the mean serum sodium and urinary protein/creatinine ratio were significantly higher in the poorly chelated group (P < 0.05).
Conclusion : Subclinical renal affection can start earlier in TM patients compared to TI.
Poor chelation is associated with early signs of renal affection.
Periodic renal assessment of those patients is mandatory as they may be affected by hidden renal dysfunction.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Adli, Amirah A. M.& Toaima, Dalia N.& Muhammad, Nuha Rafat& Abu al-Suud, Karim Muhammad. 2014. Subclinical renal abnormalities in young thalassemia major and intermedia patients and its relation to chelation therapy. The Egyptian Journal of Medical Human Genetics،Vol. 15, no. 4, pp.369-377.
https://search.emarefa.net/detail/BIM-422641
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Adli, Amirah A. M.…[et al.]. Subclinical renal abnormalities in young thalassemia major and intermedia patients and its relation to chelation therapy. The Egyptian Journal of Medical Human Genetics Vol. 15, no. 4 (Oct. 2014), pp.369-377.
https://search.emarefa.net/detail/BIM-422641
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Adli, Amirah A. M.& Toaima, Dalia N.& Muhammad, Nuha Rafat& Abu al-Suud, Karim Muhammad. Subclinical renal abnormalities in young thalassemia major and intermedia patients and its relation to chelation therapy. The Egyptian Journal of Medical Human Genetics. 2014. Vol. 15, no. 4, pp.369-377.
https://search.emarefa.net/detail/BIM-422641
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 376-377
رقم السجل
BIM-422641
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر