Iron Chelator in Patients with SickleCell Anemia, Comparative Study | ||
kufa Journal for Nursing sciences | ||
Article 1, Volume 4, Issue 3, December 2014, Pages 95-100 | ||
Author | ||
Talib Abduljaleel Jasim | ||
Abstract | ||
Background: the two main reasons for blood transfusion in sickle cell disease are to correct anemia so that the oxygen-carrying capacity of the blood is improved, and to treat or prevent painfulvasoocclusiveby lowering the proportion of sickle cell hemoglobin. Iron over load will be evitable. Aim: The aim of this study is to assessafety and efficiency of different chelation therapy. Patients and method:Fifty two patients divided in to two equalgroup, for treatment by combined Deferoxamine-Deferasirox therapy and on Deferasirox alone. Results: both drug regimens proved to have no adverse effect on hepatic or renal function. The degree of descend of serum ferritin is significantly higher with combined Deferoxamine-Deferasirox therapy. Conclusion: combined chelating agents have significant effect on serum ferritin, with acceptable level of safety. Recommendation: combined therapy was safe regime and can be used with good efficacy for patients with iron over load. | ||
Keywords | ||
sickle cell disease; Iron overload; Serum ferritin | ||
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