Diagnose und Behandlung von Eisenmangel ohne Anämie [Diagnosis and treatment of iron deficiency without anaemia]

Details

Serval ID
serval:BIB_51FB2E86F838
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Diagnose und Behandlung von Eisenmangel ohne Anämie [Diagnosis and treatment of iron deficiency without anaemia]
Journal
Praxis
Author(s)
Fehr J., Favrat B., Schleiffenbaum B., Krayenbühl P.A., Kapanci C., von Orelli F.
ISSN
1661-8157
Publication state
Published
Issued date
2009
Volume
98
Number
24
Pages
1445-1451
Language
german
Abstract
Iron deficiency (ID) without anaemia frequently remains undiagnosed when symptoms are attributed to ID with anaemia. Serum ferritin is the primary diagnostic parameter, whereas <10 microg/l represent depleted iron stores, 10-30 microg/l can confirm ID without anaemia and 30-50 microg/l might indicate functional ID. In case of increased CRP or ALT, normal/elevated ferritin should be interpreted with caution. Intravenous iron is indicated if oral iron is not effective or tolerated. At ferritin <10 microg/l, a cumulative dose of 1000 mg iron and at ferritin 10-30 microg/l, a cumulative dose of 500 mg is advised. At ferritin 30-50 microg/l a first dose of 200 mg might be considered. Ferritin shall be reassessed not sooner than 2 weeks after the last oral or 8-12 weeks after the last iv iron administration.
Keywords
Alopecia/blood, Alopecia/etiology, Anemia, Iron-Deficiency/blood, Anemia, Iron-Deficiency/diagnosis, Cognition Disorders/blood, Cognition Disorders/etiology, Cross-Sectional Studies, Diagnosis, Differential, Dosage Forms, Fatigue/blood, Fatigue/etiology, Ferritins/blood, Humans, Iron/administration & dosage, Iron/blood, Iron Compounds/administration & dosage, Iron Compounds/adverse effects, Reference Values, Restless Legs Syndrome/blood, Restless Legs Syndrome/etiology
Pubmed
Create date
29/01/2010 15:53
Last modification date
20/08/2019 15:07
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