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DIAGNOSTICS ALGORITHM OF IRON DYSBOLISM IN PATIENTS WITH CHRONIC DIFFUSIVE LIVER DESEASE

https://doi.org/10.51523/2708-6011.2008-5-3-29

Abstract

Iron metabolism disorders are frequent in chronic diffuse liver diseases (CLD). Aims - to determine the peculiarities iron metabolism in patients with CLD and to develop diagnostic algorithm. Methods - complex clinical and morphologic investigation the iron metabolism in 167 clinical and 142 sectional cases of different CLD. Results - Laboratory signs of iron deficiency was disclosed in 26 (15,5%) and signs iron overload (IO) was determined in 35 (20,9%) CLD patients (n = 167). A liver hemosiderosis was discovered in 66 (46,5%) sectional cases CLD (n = 142). A HFE gene mutations was revealed in 11 (36,7%) of 30 CLD patients with IO. Conclusions - To order all CLD patients the iron metabolism disorders screening. Diagnostic algorithm was developed due to investigation results and modern requirements. Our algorithm provides the differentiated approach to diagnostic iron metabolism disorders in CLD patients.

About the Author

L. S. Bogush
Belarussian Medical Academy of Post-graduation Education
Belarus


References

1. Сивицкая, Л. Н. Частоты мутаций гена HFE у жителей разных регионов Беларуси / Л. Н. Сивицкая, Е. И. Кушнеревич, Н. Г. Даниленко // От классических методов генетики и селекции к ДНК-технологиям» (к 95-летию со дня рождения академика Н.В. Турбина): Матер. Международной научной конференции, г. Гомель, 2-5 октября 2007 г.; под. ред. А. В. Кильчевского и др. - Мн.: Право и экономика, 2007. - С. 141.

2. Смирнов, О. А. Клинико-морфологические особенности хронического гепатита при гемосидерозе печени / О. А. Смирнов, В. Г. Радченко, Е.И. Кальм // Российский медицинский журнал. 2003.- №. 1. - С. 20-22.

3. Щербина, С. П. Диагностическое значение комплексного исследования показателей метаболизма железа в клинической практике / С. П. Щербина, Е. А. Романова, А. А. Левина // Гематол. и трансфузиол. - 2005. - №. 5. - С. 23-28.

4. Adams, P. C. Hemochromatosis and iron-overload screening in a racially diverse population / Р. С. Adams, D. M. Reboussin, J. C. Barton // N. Engl. J. Med. - 2005. - Vol. 352. - P. 1769-1778.

5. Deugnier, Y. Pathology of hepatic iron overload / Y. Deugnier, B. Turlin // World. J. Gastroenterol. - 2007. - Vol. 35. - P. 4755-4760.

6. Fletcher, L. M. Interrelationships of alcohol and iron in liver disease with particular reference to the iron binding proteins, ferritin and transferring / L. M. Fletcher, J. W. Halliday, L. W. Powell // J. Gastroenterol. Hepatol. - 1999. - Vol. 14. - P. 202-214.

7. Ganne-Carrie, N. Liver iron is predictive of death in alcoholic cirrhosis: a multivariate study of 229 consecutive patient with alcoholic and/or hepatitis C virus cirrhosis: a prospective flow up study / N. Ganne-Carrie, C. Christidis, C. Chastang // Gut. - 2000. - Vol. 46. - P. 277-282.

8. Harrison, S. A. Hereditary hemochromatosis: update for 2003 / S. A. Harrison, B. R. Bacon // J. Hepatol. - 2003. - Vol. 38. - P. 14-23.

9. Ioannou, G. N. The effect of alcohol consumption on the prevalence of iron overload, iron deficiency, and iron deficiency anemia / G. N. Ioannou, J. A. Dominitz // Gastroenterology. - 2004. - Vol. 126(5). - P. 1293-1301.

10. Niederau, C. Hereditary hemochromatosis / С. Niederau // Internist. - 2003. - Vol. 44. - P. 191-205.

11. Petersrn, D. Alcohol, iron-associated oxidative stress, and cancer / D. Petersrn // Alcohol. - 2005. - Vol. 35. - P. 243-249.

12. Purohit, V. Role of iron alcoholic liver disease: introduction and summary of symposium / V. Purohit, D. Russo, S. Marvin // Alcohol. - 2003. - Vol. 30. - P. 93-97.

13. Rouault, T. Hepatic iron overload in alcoholic liver disease: why does it occur and what is its role in pathogenesis? / Т. Rouault // Alcohol. - 2003. - Vol. 30. - P. 103-106.

14. Screening for hereditary hemochromatosis: a clinical practice guideline from the American College of Physicians // An. Intern. Med. - 2006. - Vol. 145. - P. 204-208.

15. Tavill, A. S. Diagnosis and management of hemochromatosis. AASLD Practice Guidelines / A. S. Tavill // Hepatology. - 2001. - Vol. 33. - P. 1321-1328.


Review

For citations:


Bogush L.S. DIAGNOSTICS ALGORITHM OF IRON DYSBOLISM IN PATIENTS WITH CHRONIC DIFFUSIVE LIVER DESEASE. Health and Ecology Issues. 2008;(3):142-148. (In Russ.) https://doi.org/10.51523/2708-6011.2008-5-3-29

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ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)