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Klinični pomen novih metod (količina hemoglobina v retikulocitih in hipokromni eritrociti) za oceno pomanjkanja železa v telesu = Clinical utility of new diagnostic approaches (reticulocyte hemoglobin content and hypochromic red cells) for iron deficiency statesPreložnik Zupan, Irena, medicina ; Lenart, KatarinaBackground. Classical iron deficiency does not represent a particular diagnostic challenge for the clinicians. However, in several more complicated clinical conditions, classical biochemical indices ... such as serum iron, transferrin saturation and ferritin may not be informative enough to reflect transient iron-deficient states and functional iron de ficiency. It is definedas an imbalance between iron needs of the erythroid marrow and the ironsupply. Two hematological parameters, the proportions of hypochromic red cells (hypoE) and reticulocyte hemoglobin content (CHr), have major value in this setting. Conclusions. CHr and hypoFprovide a useful new approach to the diagnosi,s of iron-deficient states. CHr is an early marker of functional irondeficiency, as reticulocytes exist in the circulation for only 1-2 days. Because erythrocytes have a lifespan about 120 days, the hypoE is able to provide information over a several month period and is a late indicator of iron-restricted erythropoiesis. With these new parameters identification of iron deficiency could be improved in some clinical conditions such as erythropoietin therapy, anemia of chronic disease, iron deficiency of early childhood and in the illicit use of erythropoietin for blood doping of competitive athletes. We have already introduced both new methods in clinical practice with cooperation between Department of hematology and Institut for Clinical Chemistry and Biochemistry.Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 73, št. 6, jun. 2004, str. 499-502)Vrsta gradiva - članek, sestavni delLeto - 2004Jezik - slovenskiCOBISS.SI-ID - 18185945
Avtor
Preložnik Zupan, Irena, medicina |
Lenart, Katarina
Teme
Iron |
Metabolism |
Anemia, Iron-Deficiency |
Anemia, Hypochromic |
Reticulocyte Count |
Hemoglobinometry |
Reticulocytes |
Erythropoietin, Recombinant |
Anemija hipokromna |
Anemija, železo, pomanjkanje |
Hemoglobinometrija |
Retikulociti, štetje |
Železo |
Eritropoietin rekombinantni |
Retikulociti |
kri |
anemija |
železo |
hemoglobin |
zdravljenje
vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 73, št. 6, jun. 2004, str. 499-502)
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Preložnik Zupan, Irena, medicina | 23126 |
Lenart, Katarina | 12569 |
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