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

Autor: E.A. Lukina, A.V. Ledina, S.I. Rogovskaya
Jazyk: ruština
Rok vydání: 2020
Předmět:
Zdroj: РМЖ. Мать и дитя, Vol 3, Iss 4 (2020)
Druh dokumentu: article
ISSN: 2618-8430
2686-7184
Popis: E.A. Lukina1, A.V. Ledina2,3,4, S.I. Rogovskaya3 1National Medical Research Center of Hematology, Moscow, Russian Federation 2Russian University of Peoples’ Friendship, Moscow, Russian Federation 3Russian Association of Genital Infections & Neoplasia, Moscow, Russian Federation 4Lapino Clinical Hospital “Mother & Child”, Moscow region, Russian Federation 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 f or 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):428–253. DOI: 10.32364/2618-8430-2020-3-4-248-253.
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