Patients with higher liver iron stores are likely to have a worse cardiac outcome following noncompliance with chelation. Cardiovascular magnetic resonance identifies myocardial siderosis allowing optimization of iron chelation regimes. Diabetes puts thalassemic patients at increased risk of myocardial fibrosis. Dual chelation therapy with deferoxamine and deferiprone offers improved cardiac ou...

Thalassemia is a genetic disease caused by disruption of globin chain synthesis leading to severe anemia and thus regular blood transfusion necessary. However, there have been known transfusions-related consequences, including iron overload multi-organ damage. The aims this study were evaluate liver cardiac function in youth adult transfusion-dependent Indonesian thalassemic patients assess its...

background: in thalassemia major as a chronic disease patients need to require information about the disease processes and therapeutic interventions. the aim of the present study was to evaluate the knowledge, attitude, and practice behavior of thalassemic patients. patients and methods: this was a cross-sectional descriptive knowledge, attitude and practice study conducted in zafar adult thala...

thalassemia major patients require repeated transfusions of packed cell and their lysis lead to iron deposition especially in the cardiac walls such as septum and posterior wall, so make thickening and cause cardiac disorders. in this case-control study, our object was to appoint if qt and qtc and te dispersions were predictors of cardiac disorders in thalassemia major patients or not. 34 thala...

PURPOSE To compare contrast sensitivity (CS) in multi-transfused β-thalassemia patients who received deferoxamine with those who received Osveral. METHODS In this cross sectional study a total of 60 β-thalassemia patients (30 used deferoxamine and 30 used deferasirox) were regarded as case group and 30 age and sex matched healthy subjects were selected as control group. All subjects had a set...

OBJECTIVE To investigate puberty in a group of thalassemic patients with delayed or arrested pubertal development and to compare the effects of hormonal and L-carnitine therapy on puberty in those patients. PATIENTS Thirty-two -thalassemic patients with arrested or failure of puberty were enrolled for 1 year in this study. METHOD Clinical pubertal assessment and laboratory investigations we...

BACKGROUND Iron overload in patients with thalassemia is a common feature which requires continuous chelation therapy and monitoring. Serum ferritin determination is widely accepted as a simple method for following iron load in patients with primary hemochromatosis; however, several reports on thalassemic patients emphasize that ferritinemia is not accurate and that other methods such as direct...

Post transfusion purpura (PTP) is a rare condition and only 200 cases have been reported so far. It is commonly seen in women, with a preponderance in the sixth and seventh decade. Majority of these cases have been observed in whites and the condition is rare among Asian patients(l). It has not yet been reported in children(2). PTP is characterized by the development of thrombocytopenia associa...

Background: Thalassemia constitutes a major public health problem causing a significant burden on children and their families. Zinc deficiency plays an important role in many thalassemia-related complications like growth retardation, hypogonadism and delayed puberty which are frequently noted in adolescent age. Although zinc is supplemented to thalassemic patients visiting Day Care Center, Yang...