IRON

Description

  • Men- 59- 158 ug/dl
  • Female -37-145 ug/dl

Pediatric Normal range –

  • New born- 100-200 ug/dl
  • Infant- 40-100 ug/dl
  • Children-50-120ug/dl

Clinical significance

  • Iron is a trace element in biologic systems, making up only 0.004% of the body’s mass. It is an essential component or cofactor of numerous metabolic reactions.
  • Iron plays an essential role as a structural component of haemoglobin. Fe++ is responsible for oxygen carrying capacity. Without sufficient iron available to the RBC precursors, normal erythropoiesis cannot take place and anaemia develops. 
  • There are different tests that measure the body’s iron levels and storage, viz .Total Iron binding capacity, Ferritin tests and Transferrin tests.

When to get tested

  • When haemoglobin and haematocrit is low and RBCs are microcytic and hypochromic ( smaller and paler than normal)
  • When there are s/s of Iron deficiency anaemia( Fatigue, dizziness, Head ache , pallor , weakness)
  • s/s of Iron overload ( Fatigue , joint pain , Weight loss, lack of energy, Abdominal pain , loss of sex drive , organ damage such as in heart and liver)

Elevated level

  • Hemochromatosis
  • Hemolysis
  • Haemolytic anaemia
  • Hemosiderosis
  • Hepatitis
  • Hepatic necrosis
  • Ineffective erythropoiesis( Vit B12 , Vit B6 Deficiency)
  • Iron poisoning
  • Multiple transfusions

Decreased level

  • Inadequate absorption of iron
  • Insufficient dietary iron
  • Pregnancy
  • Chronic gastrointestinal blood loss
  • Chronic heavy menstrual bleeding
  • Chronic Inflammatory conditions viz. Cancer ,Auto immune diseases.

Profile

Anaemia

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