缺铁性贫血患儿热性惊厥的发展

Juan Pablo Gualdrón Moncada, Ana María Caballero Mieles, Alexandra Paola Arrieta González, Valeria Olarte Manjarres, Natalia Andrea Cuevas Florez, Laura Vanessa Molina Torres, Diana Lisseth Rodriguez Paredes, Erika Paola Ramirez Escobar, Mayra Alejandra Santander Maury
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摘要

发热性惊厥是指发生在体温为38℃或更高的儿童中的惊厥,常见于6至60个月的儿科患者,无颅内感染、代谢紊乱或无发热的惊厥史。在50%的儿童中,第一次发热性癫痫发作发生在2岁,90%发生在3岁之前,贫血也是儿科患者的常见病理,事实上,世界卫生组织(WHO)的数据指出,缺铁性贫血袭击5岁以下儿童,在世界范围内发生约7.99亿,在过去10年中平均为42%。在拉丁美洲,这个数字是23%。缺铁性贫血可诱发发热性癫痫发作,因为铁在所有组织的氧气运输中起着至关重要的作用,缺铁也会导致髓鞘形成、酪氨酸和色氨酸合成羟化酶功能障碍,这些是释放神经递质所必需的,因此,如果这些神经递质不释放,脑突触就会改变,导致癫痫发作。因此,认识到这些概念及其之间的密切关系,以及可能引发这些概念的风险因素,以促进减少儿科患者等弱势群体出现这些疾病的风险,是重要和相关的。
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Development of Febrile Seizures in Children with Iron Deficiency Anemia
A febrile seizure is a seizure that occurs in children with a temperature of 38 ºC or more, common in pediatric patients between the ages of 6 to 60 months without intracranial infections, metabolic disorder, or a history of seizures without fever. In 50% of children the first febrile seizure occurs at 2 years and in 90% before 3 years, anemia is also a frequent pathology in pediatric patients, in fact, the figures of the World Health Organization (WHO), point out that iron deficiency anemia attacks children under five years of age, occurring worldwide around 799 million, an average, in the last 10 years, of 42%. And in Latin America, the figure is 23%. Iron deficiency anemia can predispose to the development of febrile seizures because iron plays a crucial role in the transport of oxygen to all tissues, its deficiency also produces a dysfunction of myelination, tyrosine, and tryptophan synthesis hydroxylase, which are necessary for the release of neurotransmitters, therefore, if said neurotransmitters are not released, the brain synapse can be altered and lead to a seizure. Therefore, it is important and relevant to recognize these concepts and the intimate relationship between them, in addition to the risk factors that can trigger them, in order to promote the reduction of the risk of presenting these diseases in vulnerable groups such as pediatric patients.
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