Muhammad Idris, Anisur Rehman.
Iron deficiency anemia in moderate to severely anemic patients.
J Ayub Med Coll Abottabad Jan ;17(3):45-7.

Background: Anemia is defined as a clinical abnormality characterized by reduction in hemoglobin concentration below the normal for age, sex, physiological condition and altitude from the sea level of a person. It can be of different types, the commonest being iron deficiency anemia which affects mostly pregnant and lactating females and growing children in the developing world. The present study was conducted at Ayub Teaching Hospital on this problem of global importance. Methods: One hundred consecutive anemic patients were selected from Ayub Teaching Hospital. After detailed history and examination, preliminary blood tests including full blood counts, platelets count, retics count, absolute blood values and blood film examination (all tests done by visual method) were done in the laboratories of Ayub Teaching Hospital and Ayub Medical College, Abbottabad. A clinical diagnosis was made based upon the findings of history, examination and blood tests. In patients suspected to have iron deficiency anemia, serum iron studies (i.e. serum iron, Total iron binding capacity (TIBC) and serum ferritin) were done to confirm the diagnosis. Results: Sixty eight patients were found to have iron deficiency anaemia. Females were affected more than the males. Female to male ratio being 1:5:1. Majority of the patients (82.2%) were aged 21-60 years. However, there were two peaks (21% & 25%) in age groups 21-30 and 41-50 respectively. Based upon serum ferritin concentrations, most of the patients were found to suffer from moderate iron deficiency anemia (53%).Conclusion: Iron deficiency anaemia is the commonest type of anemia in our area. It is more common in females. It is more common in age group 21-60 years, with two peaks, one in 21-30 years and the other in 41-50 years.

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