Hematological and biochemical status of Beta-thalassemia major patients in Bangladesh: A comparative analysis

Background: Thalassemia is one of the most common hereditary disorders and Beta-thalassemia major is its severe form. The present study is concerned with the analysis of liver function, thyroid function and estimation of critical serum ions as well as hematological characteristics in beta-thalassemi...

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Main Authors: Md. Fazlul Karim, Md Ismail, AKM Mahbub Hasan, Hossain Uddin Shekhar
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2016-04-01
Series:International Journal of Hematology-Oncology and Stem Cell Research
Subjects:
Online Access:https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/375
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author Md. Fazlul Karim
Md Ismail
AKM Mahbub Hasan
Hossain Uddin Shekhar
author_facet Md. Fazlul Karim
Md Ismail
AKM Mahbub Hasan
Hossain Uddin Shekhar
author_sort Md. Fazlul Karim
collection DOAJ
description Background: Thalassemia is one of the most common hereditary disorders and Beta-thalassemia major is its severe form. The present study is concerned with the analysis of liver function, thyroid function and estimation of critical serum ions as well as hematological characteristics in beta-thalassemia patients and controls. Subjects and Methods: The study included 54 patients with beta-thalassemia major and 54 healthy individuals matched by sex and age. The activity of Alanine transaminase (ALT), Alkaline phosphatase(ALP) and Aspartate transaminase (AST) were assessed in order to evaluate the liver function. Serum content of iron (Fe), calcium (Ca), magnesium (Mg), sodium (Na) and potassium (K) were also estimated. Tri iodothyronine (T3), Thyroxin (T4) and Thyroid-stimulating hormone (TSH) levels were assessed in order to evaluate the thyroid function. Hemoglobin (Hb), ferritin, hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration(MCHC), total iron binding capacity (TIBC) and creatinine level were also measured. Results: Significantly higher ALT (P< 0.001), AST (P< 0.05), ALP (P< 0.001) activities and lower creatinine (P< 0.001) level in beta-thalassemia patients were found in comparison to healthy individuals. Lower serum level of calcium (P<0.05), magnesium (P<0.05) and higher level of iron (P>0.05), sodium (P>0.05), potassium (P>0.05) have been found in patients in comparison to healthy individuals. Hematological parameters like Hb (P< 0.001), ferritin (P<0.05), HCT (P< 0.001), MCV (P< 0.05) and MCH (P< 0.05) have been significantly reduced in patients except MCHC (P>0.05). No significant difference was observed in thyroid function between patients and control group. Conclusions: Our study demonstrates that beta-thalassemia patients and controls have difference in liver function, thyroid function, serum contents of ions and hematological characteristics.
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spelling doaj.art-cdc9f761081e4407a4d19887898504142023-09-03T05:36:49ZengTehran University of Medical SciencesInternational Journal of Hematology-Oncology and Stem Cell Research2008-22072016-04-01101Hematological and biochemical status of Beta-thalassemia major patients in Bangladesh: A comparative analysisMd. Fazlul Karim0Md Ismail1AKM Mahbub Hasan2Hossain Uddin Shekhar3Department of Biochemistry and Molecular Biology, University of Dhaka, Dhaka-1000, BangladeshDepartment of Biochemistry and Molecular Biology, University of Dhaka, Dhaka-1000, BangladeshDepartment of Biochemistry and Molecular Biology, University of Dhaka, Dhaka-1000, BangladeshDepartment of Biochemistry and Molecular Biology, University of Dhaka, Dhaka-1000, BangladeshBackground: Thalassemia is one of the most common hereditary disorders and Beta-thalassemia major is its severe form. The present study is concerned with the analysis of liver function, thyroid function and estimation of critical serum ions as well as hematological characteristics in beta-thalassemia patients and controls. Subjects and Methods: The study included 54 patients with beta-thalassemia major and 54 healthy individuals matched by sex and age. The activity of Alanine transaminase (ALT), Alkaline phosphatase(ALP) and Aspartate transaminase (AST) were assessed in order to evaluate the liver function. Serum content of iron (Fe), calcium (Ca), magnesium (Mg), sodium (Na) and potassium (K) were also estimated. Tri iodothyronine (T3), Thyroxin (T4) and Thyroid-stimulating hormone (TSH) levels were assessed in order to evaluate the thyroid function. Hemoglobin (Hb), ferritin, hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration(MCHC), total iron binding capacity (TIBC) and creatinine level were also measured. Results: Significantly higher ALT (P< 0.001), AST (P< 0.05), ALP (P< 0.001) activities and lower creatinine (P< 0.001) level in beta-thalassemia patients were found in comparison to healthy individuals. Lower serum level of calcium (P<0.05), magnesium (P<0.05) and higher level of iron (P>0.05), sodium (P>0.05), potassium (P>0.05) have been found in patients in comparison to healthy individuals. Hematological parameters like Hb (P< 0.001), ferritin (P<0.05), HCT (P< 0.001), MCV (P< 0.05) and MCH (P< 0.05) have been significantly reduced in patients except MCHC (P>0.05). No significant difference was observed in thyroid function between patients and control group. Conclusions: Our study demonstrates that beta-thalassemia patients and controls have difference in liver function, thyroid function, serum contents of ions and hematological characteristics.https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/375Beta-thalassemia majorLiver functionThyroid functionHematological characteristics
spellingShingle Md. Fazlul Karim
Md Ismail
AKM Mahbub Hasan
Hossain Uddin Shekhar
Hematological and biochemical status of Beta-thalassemia major patients in Bangladesh: A comparative analysis
International Journal of Hematology-Oncology and Stem Cell Research
Beta-thalassemia major
Liver function
Thyroid function
Hematological characteristics
title Hematological and biochemical status of Beta-thalassemia major patients in Bangladesh: A comparative analysis
title_full Hematological and biochemical status of Beta-thalassemia major patients in Bangladesh: A comparative analysis
title_fullStr Hematological and biochemical status of Beta-thalassemia major patients in Bangladesh: A comparative analysis
title_full_unstemmed Hematological and biochemical status of Beta-thalassemia major patients in Bangladesh: A comparative analysis
title_short Hematological and biochemical status of Beta-thalassemia major patients in Bangladesh: A comparative analysis
title_sort hematological and biochemical status of beta thalassemia major patients in bangladesh a comparative analysis
topic Beta-thalassemia major
Liver function
Thyroid function
Hematological characteristics
url https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/375
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AT mdismail hematologicalandbiochemicalstatusofbetathalassemiamajorpatientsinbangladeshacomparativeanalysis
AT akmmahbubhasan hematologicalandbiochemicalstatusofbetathalassemiamajorpatientsinbangladeshacomparativeanalysis
AT hossainuddinshekhar hematologicalandbiochemicalstatusofbetathalassemiamajorpatientsinbangladeshacomparativeanalysis