Frequency of Iron Deficiency and Iron Deficiency Anemia among Hemophilia Children in Babylon Hereditary Blood Disease Center /Iraq

Abstract

Objective: to evaluate the frequency of iron deficiency with or without anemia among hemophilia patients with its correlation with other factors including age, address, type and severity of hemophilia. Study design: Cross sectional study, it was conducted at Babylon hereditary blood disease center at Babylon Government/Iraq. For a period of 10 months, from 1^st of February to end of November 2019. Methods: The study included 60 patients of hemophilia classified into: hemophilia A (40) patients and hemophilia B (20) patients; all of them were males; age ranged from 6 months to 15 years. All patients were sent for white blood cells count, Hb, Red blood cells indices, serum ferritin level, ESR, C-reactive protein and virology screening. Results: The study reveals IDA occurred in 28.3% and 58.3% of patients developed ID. There was more declined in mean ferritin level among patients with IDA reached 3.7 ± 1.4 ng ml^-1 , compared  to 5.7± 1.4 ng ml^-1 in ID and in those with sever deficiency. Higher percentage of ID and IDA occurred in complicated hemophilia and those were lived in rural areas. Conclusion: Iron deficiency and IDA are common among hemophilia patients.