Chronic Hemolysis May Adversely Affect Skeletal Health. A Cross-Sectional Study of a Pediatric Population

Autor: Artemis Doulgeraki, Vasiliki Schiza, Kalliopi Drakaki, Jacqueline Yousef, Helen Athanasopoulou, Christine Fragodimitri, Fotis Karabatsos, Ioannis Monopolis, Antonia Chatziliami
Rok vydání: 2021
Předmět:
Zdroj: Hemoglobin. 45(1)
ISSN: 1532-432X
Popis: Hereditary hemolytic disorders cause ineffective erythropoiesis and bone marrow hyperplasia. Little is known about their effect on growth and skeletal health. The aim of this study was to evaluate growth, bone and body composition of non transfusion-dependent (NTD) pediatric patients with chronic hemolysis. A detailed history and clinical examination, dual-energy X-ray absorptiometry (DXA) of the lumbar spine (LS) and total body less head (TBLH) and bone turnover markers were performed. Thirty-nine patients (22 males and 17 females, 20 prepubertal), aged 11.4 ± 3.6 years [14 had β-thalassemia intermedia (β-TI), 17 α-thalassemia (α-thal) and eight hereditary spherocytosis (HS)] were evaluated. Fifty-seven previously studied controls were used for statistical analysis. The patients had lower weight and body mass index (BMI) (Z-scores -0.2 and -0.3, respectively
Databáze: OpenAIRE
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