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العنوان
Liver iron concentration and serum hepcidin levels in patients with beta thalassemia /
الناشر
Mariam Saad Soliman Nassim ,
المؤلف
Mariam Saad Soliman Nassim
هيئة الاعداد
باحث / Mariam Saad Soliman Nassim
مشرف / Ilham Youssry Ibrahim
مشرف / Hadeel Mohammed Seif el Dein Aly
مشرف / Rania Mohamed Samy Mohamed
تاريخ النشر
2017
عدد الصفحات
179 P. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الطب
تاريخ الإجازة
15/10/2017
مكان الإجازة
جامعة القاهرة - كلية الطب - Pediatrics
الفهرس
Only 14 pages are availabe for public view

from 201

from 201

Abstract

The aim of this study was to assess serum hepcidin levels among transfusion and non transfusion dependent thalassemia patients, to radiologically evaluate iron level in different tissues, to find a correlation between serum hepcidin and the studied iron overload indices and to identify the risk factors of iron overload. Methods: Eighty six thalassemia patients (56 TDT and 30 NTDT) were all subjected to history taking, clinical examination, and laboratory testing including full blood picture, serum ferritin detected by enzyme linked fluorescent assay, serum hepcidin: detected by enzyme linked immunosorbent assay . HAMP gene polymorphisms were detected using PCR-RFLP technique. Thirty six patients had a liver MRI (15 NTDT and 22 TDT) in which the pancreas and adrenal glands were visualized in eighteen patients (12 TDT and 6 NTDT) and twenty one had a heart MRI (14 TDT and 7 NTDT). Results: In this study, mean serum hepcidin was higher among TDT patients than NTDT patients. Among our patients,16.6% did not have liver iron overload (LIC<2mg/kg dw), 38.8% had mild iron overload (LIC 2-6 mg/kg dw), and 44.4% had moderate to severe iron overload (LIC >6mg/kg dw). Out of 21 evaluated patients: 4.5% had severe cardiac siderosis (T2*<10ms), 4.5% had moderate cardiac siderosis (T2* 10-20ms) and 91% had no cardiac iron overload (T2*>21ms). 61% of the studied patients demonstrated pancreatic T2*<21ms