Reticulocyte Hemoglobin Equivalent (Ret-He) as a Potential Diagnostic Marker of Iron Deficiency Anemia among Bangladeshi Adults.

M Morsed Zaman Miah, Md Enayet Ali Pramanik, M Abdur Rafi, Mira Akhter
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Abstract

Anemia involving a variety of etiological sources constitutes a common side effect of long-term liver diseases. Anemia caused by an iron deficiency (IDA) is a prominent kind of anemia among various other types. Blood ferritin levels and other iron-related indicators can be used to identify anemia. On the other hand, it is now possible to quantify reticulocyte hemoglobin equivalent (Ret-He), which indicates the reticulocyte iron concentration. It would be useful to diagnose IDA immediately if Ret-He could evaluate the ID. The effectiveness of Ret-He to diagnose ID in Bangladeshi patients was investigated in an ongoing study. Whole bloodstream numbers, blood ferritin phases, and Ret-He concentrations were measured in a cohort of 215 Bangladeshi people. Hemoglobin (Hb) values less than 12 gm/dL were considered anemia. An individual was classified as iron deficient if their blood ferritin concentration was below 12 ng/mL. Participants were split into four groups for this study: non-ID groups with anemia, IDA, ID, and control groups. In comparison to patients with IDA and ID, the concentrations of Ret-He showed a downward tendency. Serum Ret-He levels were correlated with ferritin levels in the subjects. The measurement of the area around the intercept (AUC) for Ret-He on the ROC curve was 0.906, suggesting a correlation with diagnosis. The study's results provide optimism for the therapeutic use of Ret-He value as an indicator for identification in Bangladeshi patients.

How to cite this article: Miah MMZ, Pramanik MEA, Rafi MA, et al. Reticulocyte Hemoglobin Equivalent (Ret-He) as a Potential Diagnostic Marker of Iron Deficiency Anemia among Bangladeshi Adults. Euroasian J Hepato-Gastroenterol 2023;13(2):128-132.

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网织红细胞血红蛋白当量(Ret-He)作为孟加拉成年人缺铁性贫血的潜在诊断指标
各种病因引起的贫血是长期肝病的常见副作用。缺铁性贫血(IDA)是各种类型贫血中比较突出的一种。血铁蛋白水平和其他与铁相关的指标可用于识别贫血。另一方面,现在可以对网织红细胞血红蛋白当量(Ret-He)进行量化,它可以显示网织红细胞铁的浓度。如果 Ret-He 可以评估 ID,就可以立即诊断出 IDA。一项正在进行的研究对 Ret-He 诊断孟加拉患者 ID 的有效性进行了调查。对 215 名孟加拉人进行了全血细胞数、血铁蛋白阶段和 Ret-He 浓度的测量。血红蛋白 (Hb) 值低于 12 gm/dL 被视为贫血。如果血液中的铁蛋白浓度低于 12 纳克/毫升,则被归类为缺铁。本研究将参与者分为四组:非 ID 贫血组、IDA 组、IDA 组和对照组。与 IDA 和 ID 患者相比,Ret-He 的浓度呈下降趋势。受试者的血清 Ret-He 水平与铁蛋白水平相关。ROC曲线上Ret-He的截距周围面积(AUC)测量值为0.906,表明与诊断相关。研究结果为将 Ret-He 值作为孟加拉患者的识别指标提供了乐观的治疗用途:Miah MMZ, Pramanik MEA, Rafi MA, et al. 网织红细胞血红蛋白当量(Ret-He)作为孟加拉成年人缺铁性贫血的潜在诊断指标。Euroasian J Hepato-Gastroenterol 2023;13(2):128-132.
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