Randrianarisoa, R.M.F.; Ramanandafy, H.; Mania, A.; Monjanel, H.; Trouillier, S. Prevalence and Diagnostic Performance of Iron Deficiency in Polycythemia. Hematology 2023, 28, doi:10.1080/16078454.2023.2204621.
Randrianarisoa, R.M.F.; Ramanandafy, H.; Mania, A.; Monjanel, H.; Trouillier, S. Prevalence and Diagnostic Performance of Iron Deficiency in Polycythemia. Hematology 2023, 28, doi:10.1080/16078454.2023.2204621.
Randrianarisoa, R.M.F.; Ramanandafy, H.; Mania, A.; Monjanel, H.; Trouillier, S. Prevalence and Diagnostic Performance of Iron Deficiency in Polycythemia. Hematology 2023, 28, doi:10.1080/16078454.2023.2204621.
Randrianarisoa, R.M.F.; Ramanandafy, H.; Mania, A.; Monjanel, H.; Trouillier, S. Prevalence and Diagnostic Performance of Iron Deficiency in Polycythemia. Hematology 2023, 28, doi:10.1080/16078454.2023.2204621.
Abstract
Several observations have shown that patients with polycythemia have iron deficiency. Our objectives were to report the prevalence of iron deficiency, to evaluate the diagnostic performance of serum ferritin in polycythemia vera and to describe the mechanisms of this association. This is a retrospective descriptive and analytical study carried out in the internal medicine department of the Henri Mondor Hospital, Aurillac, France. The study involved 114 patients with polycythemia, followed in the department from January 1, 2010 to December 31, 2021. To evaluate the diagnostic performance, the JAK2 mutation was considered as the gold standard of diagnosis. Thirty-three patients had polycythemia vera and 76 patients had secondary polycythemia. The mean age of the patients was 61.79 years (±15.44) with a sex ratio of 4.43. The overall prevalence of iron deficiency was 21.05%. The prevalence was 53% in polycythemia vera group and 1.32% in secondary polycythemia group. The risk of iron deficiency was high in polycythemia vera (OR=115; 95% CI [14.4-918.2], p<0.000). The sensitivity and specificity of serum ferritin were 52.63% and 100% respectively. Assessment of iron deficiency should be part of the initial evaluation of polycythemia. The presence of iron deficiency is specific for polycythemia vera.
Keywords
Diagnostic; Iron deficiency; Polycythemia; Polycythemia vera; Secondary polycythemia
Subject
Medicine and Pharmacology, Hematology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
,
,
,
,
