ASSOCIATION OF FEBRILE SEIZURES AND IRON DEFECIENCY ANEMIA

ABSTRACT: BACKGROUND: Febrile seizures (FS) affect 3-4% of children under the age of 5 years. It is benign and has an excellent prognosis. Male children with family history of febrile seizures, low serum calcium, sodium & blood sugar and microcytic hypochromic anemia are more prone to FS. Iron de...

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Main Authors: Tahir Mahmood, Nasir Khan sajjid, Fida Muhammad
Format: Article
Language:English
Published: University of Faisalabad 2017-06-01
Series:Journal of University Medical & Dental College
Subjects:
Online Access:http://jumdc.com/index.php/jumdc/article/view/152
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author Tahir Mahmood
Nasir Khan sajjid
Fida Muhammad
author_facet Tahir Mahmood
Nasir Khan sajjid
Fida Muhammad
author_sort Tahir Mahmood
collection DOAJ
description ABSTRACT: BACKGROUND: Febrile seizures (FS) affect 3-4% of children under the age of 5 years. It is benign and has an excellent prognosis. Male children with family history of febrile seizures, low serum calcium, sodium & blood sugar and microcytic hypochromic anemia are more prone to FS. Iron deficiency has been postulated to contribute to FS as it has a key role in brain energy metabolism, myelination, long term behavioral changes and cognitive impairments. PATIENTS AND METHODS: A case-control study was conducted in the Department of Pediatrics Allied Hospital, Faisalabad from December 2014 to November 2015. Forty five children with fever and seizures and 45 children with fever but no seizure, of age 6 months to 60 months, were recruited. Blood samples of the children were obtained. Serum ferritin and Mean Corpuscular Volume (MCV) levels were assessed. Iron deficiency was labeled at Serum ferritin <7 μg/L and MCV <65 fL. Data was entered and analyzed using SPSS v. 20.0. RESULTS: 60% (n=27) of children with febrile seizures showed iron deficiency anemia out of which 59% (n=16) were males and 41% (n=11) were females and most of these children 48% (n=13) belonged to the age group of 13 to 30 months. Logistic regression analysis and p value showed iron deficiency to be significantly associated with febrile seizures. Odds ratio showed children with febrile seizures to be 6.93 times more prone to develop iron deficiency. CONCLUSION: Febrile seizures are significantly associated with iron deficiency and the children with iron deficiency has about 6 times more chances of developing febrile seizures as compared to children with normal serum ferritin levels.
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spelling doaj.art-4f5d95020b404b6692952bb35e787dd12022-12-21T18:10:22ZengUniversity of FaisalabadJournal of University Medical & Dental College2221-78272310-55422017-06-0184ASSOCIATION OF FEBRILE SEIZURES AND IRON DEFECIENCY ANEMIATahir Mahmood 0 Nasir Khan sajjid1Fida Muhammad 2Associate Professor of Pediatrics, Aziz Fatima Medical and Dental College, FaisalabadAssistant Professor of Pediatrics, Aziz Fatima Medical and Dental College, Faisalabad Assistant Professor of Cardiology Sargodha Medical College, Sargodha ABSTRACT: BACKGROUND: Febrile seizures (FS) affect 3-4% of children under the age of 5 years. It is benign and has an excellent prognosis. Male children with family history of febrile seizures, low serum calcium, sodium & blood sugar and microcytic hypochromic anemia are more prone to FS. Iron deficiency has been postulated to contribute to FS as it has a key role in brain energy metabolism, myelination, long term behavioral changes and cognitive impairments. PATIENTS AND METHODS: A case-control study was conducted in the Department of Pediatrics Allied Hospital, Faisalabad from December 2014 to November 2015. Forty five children with fever and seizures and 45 children with fever but no seizure, of age 6 months to 60 months, were recruited. Blood samples of the children were obtained. Serum ferritin and Mean Corpuscular Volume (MCV) levels were assessed. Iron deficiency was labeled at Serum ferritin <7 μg/L and MCV <65 fL. Data was entered and analyzed using SPSS v. 20.0. RESULTS: 60% (n=27) of children with febrile seizures showed iron deficiency anemia out of which 59% (n=16) were males and 41% (n=11) were females and most of these children 48% (n=13) belonged to the age group of 13 to 30 months. Logistic regression analysis and p value showed iron deficiency to be significantly associated with febrile seizures. Odds ratio showed children with febrile seizures to be 6.93 times more prone to develop iron deficiency. CONCLUSION: Febrile seizures are significantly associated with iron deficiency and the children with iron deficiency has about 6 times more chances of developing febrile seizures as compared to children with normal serum ferritin levels.http://jumdc.com/index.php/jumdc/article/view/152Febrile seizuresiron deficiency anemiaserum ferritinchildrenpediatrics
spellingShingle Tahir Mahmood
Nasir Khan sajjid
Fida Muhammad
ASSOCIATION OF FEBRILE SEIZURES AND IRON DEFECIENCY ANEMIA
Journal of University Medical & Dental College
Febrile seizures
iron deficiency anemia
serum ferritin
children
pediatrics
title ASSOCIATION OF FEBRILE SEIZURES AND IRON DEFECIENCY ANEMIA
title_full ASSOCIATION OF FEBRILE SEIZURES AND IRON DEFECIENCY ANEMIA
title_fullStr ASSOCIATION OF FEBRILE SEIZURES AND IRON DEFECIENCY ANEMIA
title_full_unstemmed ASSOCIATION OF FEBRILE SEIZURES AND IRON DEFECIENCY ANEMIA
title_short ASSOCIATION OF FEBRILE SEIZURES AND IRON DEFECIENCY ANEMIA
title_sort association of febrile seizures and iron defeciency anemia
topic Febrile seizures
iron deficiency anemia
serum ferritin
children
pediatrics
url http://jumdc.com/index.php/jumdc/article/view/152
work_keys_str_mv AT tahirmahmood associationoffebrileseizuresandirondefeciencyanemia
AT nasirkhansajjid associationoffebrileseizuresandirondefeciencyanemia
AT fidamuhammad associationoffebrileseizuresandirondefeciencyanemia