Intensive Iron Chelation Therapy in Beta-Thalassemia Major: Some Effects on Iron Metabolism and Blood Transfusion Dependence
作者:
E. Silvestroni,
I. Bianco,
B. Graziani,
M. Lerone,
M. Valente,
P. Congedo,
D. Ponzini,
S. Costantini,
期刊:
Acta Haematologica
(Karger Available online 1982)
卷期:
Volume 68,
issue 2
页码: 115-123
ISSN:0001-5792
年代: 1982
DOI:10.1159/000206962
出版商: S. Karger AG
关键词: Desferal therapy;Thalassemia major
数据来源: Karger
摘要:
Subcutaneous infusions of Desferal (DF) rarely induce negative iron balance in thalassemia major patients less than 6 years old. In nonsplenectomized patients the requirements for blood transfusions increase slightly. Urinary iron excretion decreases during the first days following a blood transfusion. An average of 5.8 mg/day equivalent to 30% of the total iron excretion is eliminated with the feces after subcutaneous infusions of DF. Serum ferritin does not decrease significantly after 18–24 months of therapy. The effectiveness of long-term therapy progressively increases in the splenectomized patients, while it decreases appreciably in the course of the treatment in the nonsplenectomized one
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