Anemia in the tropics
2021年5月6日 (木) 15:17時点におけるVaccipedia.admin (トーク | 投稿記録)による版
reference value/cut-off of Hb
- adjust according to altitude of living
diagnosis
- POC test kit: HemoCue
- ferritin increases in inflammation in order to deliver more iron stimulated by inflammation itself as well as to avoid pathogens try to consume iron
- serum transferrin (TIBC) increases in IDA, decreases in inflammation
- zinc protoporphyrin (Zpp)
- soluble transferrin receptor (sTfr)
cause
- malaria does not cause IDA directly; destruction of RBCs by Plasmodium does not cause iron loss
- anemia by malaria is mainly by inflammation, which suppresses iron absorption
