Iron-deficiency anemia: a view of hematologist and gynecologist. Optimizing diagnostic and treatment approach

Abstract

Iron-deficiency anemia (IDA) is an acquired disease characterized by the reduced levels of iron in the serum, tissues, and bone marrow that mainly result from hemorrhages (e.g., nasal, gastrointestinal etc.). Women are at risk for IDA due to the physiological monthly loss of blood, childbearing, and breastfeeding but also due to various gynecological disorders leading to iron depletion and anemia. The paper describes the pathogenic mechanisms, diagnostic criteria, and clinical presentations of IDA and the potential consequences of iron overload. Considering a high medical and social importance of anemia in pregnancy, the data on IDA prevalence in this cohort as well as the potential complications both for the mother and the child are addressed. Current therapeutic approaches for anemia using peroral and parenteral iron preparations and their indications are highlighted. The prevention of iron deficiency and the effective options of its correction are viable tasks which allow for improving the health and quality of women’s life. KEYWORDS: anemia, iron-deficiency anemia, diagnosis, pregnancy, latent iron deficiency, iron overload, treatment, iron (II) fumarate. FOR CITATION: Lukina E.A., Ledina A.V., Rogovskaya S.I. Iron-deficiency anemia: a view of hematologist and gynecologist. Optimizing diagnostic and treatment approach. Russian Journal of Woman and Child Health. 2020;3(4):248–253. DOI: 10.32364/2618-8430-2020-3-4-248-253.

Correlation of phosphorus level with macro- and microelements in the bristles of Landrace pigs

“…But in this case, many factors affect the concentration of chemical elements, and the specified matrix reflects the trace element status based on a limited, often short, period of time. An example of this is the diagnosis of iron deficiency in humans, when the value of serum iron can be reduced, within normal limits and even increased, which depends on the intake of medications containing iron the day before, a meat diet, transfusion [12]. Increasingly, nails, hair, hoof horn, teeth are used as a biological substrate for assessing the level of chemical elements in humans and animals and for biomonitoring.…”