Renal Function in Children with β-Thalassemia Major Treated with Iron Chelating Agent

Autor: Olga Rasiyanti Siregar, Rosmayanti Syafriani Siregar, Bidasari Lubis
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Indonesian Biomedical Journal, Vol 12, Iss 3, Pp 214-9 (2020)
Druh dokumentu: article
ISSN: 2085-3297
2355-9179
DOI: 10.18585/inabj.v12i3.1053
Popis: BACKGROUND: Thalassemia is a disorder of inherited blood and inticated by the abnormal hemoglobin. Transfusion and iron chelation are part of thalassemia management. Iron chelating agent reduces complications due to the excess iron as a result of repeated transfusions, hence, increasing the survival rate. However, prolonged intake of iron chelating agent may increase the risk of renal function impairment. To date, evaluation of renal function in children with β-thalassemia in Medan has never been reported. The objective of this study was to evaluate renal function and other factors in children with β-thalassemia. METHODS: Fourty-five children with β-thalassemia was recruited in this study. Renal function, represented by estimated glomerular filtration rate (eGFR)and serum ferritin levels were examined. The measurement of eGFR was using Schwartz method. RESULTS: Decreased eGFR observed in some the children (2 patients) with β-thalassemia major treated with iron chelating agent. None of the factors examined had association with serum creatinine level. Children's age and duration of iron chelating agent intake had positive correlation with their eGFR (r=0.506, p
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