缺铁——诊断性问题。

S K Lam, T C Quah
{"title":"缺铁——诊断性问题。","authors":"S K Lam,&nbsp;T C Quah","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>The hypochromic, microcytic anemias are the most frequently encountered anemias on a world-wide scale, with iron deficiency anemia ranking as the commonest. Severe iron deficiency anemia seldom poses a problem in diagnosis if all the classical features are present. However, subclinical mild iron deficient states often require several laboratory tests to determine the diagnosis with certainty. To begin, the initial suspicion of an underlying subclinical iron deficient state is dependent on the laboratory method used to determine the red blood cell parameters. Next, many common conditions in children can influence the results of classical iron studies. Finally, iron deficiency has to be distinguished from other hypochromic, microcytic anemias, in particular the heterozygous thalassemic states which are so prevalent here in South-East Asia. This paper outlines some of these problems encountered in pediatric clinical practice.</p>","PeriodicalId":76683,"journal":{"name":"The Journal of the Singapore Paediatric Society","volume":"33 3-4","pages":"133-9"},"PeriodicalIF":0.0000,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Iron deficiency--a diagnostic problem.\",\"authors\":\"S K Lam,&nbsp;T C Quah\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The hypochromic, microcytic anemias are the most frequently encountered anemias on a world-wide scale, with iron deficiency anemia ranking as the commonest. Severe iron deficiency anemia seldom poses a problem in diagnosis if all the classical features are present. However, subclinical mild iron deficient states often require several laboratory tests to determine the diagnosis with certainty. To begin, the initial suspicion of an underlying subclinical iron deficient state is dependent on the laboratory method used to determine the red blood cell parameters. Next, many common conditions in children can influence the results of classical iron studies. Finally, iron deficiency has to be distinguished from other hypochromic, microcytic anemias, in particular the heterozygous thalassemic states which are so prevalent here in South-East Asia. This paper outlines some of these problems encountered in pediatric clinical practice.</p>\",\"PeriodicalId\":76683,\"journal\":{\"name\":\"The Journal of the Singapore Paediatric Society\",\"volume\":\"33 3-4\",\"pages\":\"133-9\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1991-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal of the Singapore Paediatric Society\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of the Singapore Paediatric Society","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

低色素、小细胞性贫血是世界范围内最常见的贫血,其中缺铁性贫血是最常见的。如果所有的典型特征都存在,严重缺铁性贫血的诊断很少会出现问题。然而,亚临床轻度缺铁状态通常需要多次实验室检查才能确定诊断。首先,对潜在亚临床缺铁状态的初步怀疑取决于用于确定红细胞参数的实验室方法。其次,儿童的许多常见情况会影响经典铁研究的结果。最后,铁缺乏症必须与其他低色素、小细胞贫血症区分开来,特别是在东南亚非常普遍的杂合子地中海贫血症。本文概述了在儿科临床实践中遇到的一些问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Iron deficiency--a diagnostic problem.

The hypochromic, microcytic anemias are the most frequently encountered anemias on a world-wide scale, with iron deficiency anemia ranking as the commonest. Severe iron deficiency anemia seldom poses a problem in diagnosis if all the classical features are present. However, subclinical mild iron deficient states often require several laboratory tests to determine the diagnosis with certainty. To begin, the initial suspicion of an underlying subclinical iron deficient state is dependent on the laboratory method used to determine the red blood cell parameters. Next, many common conditions in children can influence the results of classical iron studies. Finally, iron deficiency has to be distinguished from other hypochromic, microcytic anemias, in particular the heterozygous thalassemic states which are so prevalent here in South-East Asia. This paper outlines some of these problems encountered in pediatric clinical practice.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Congenital heart block Neonatal Thyrotoxicosis Echocardiography in infants and children. Double-outlet right ventricle. Congenital heart block
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1