缺铁性贫血口腔表现的患病率在埃及人群样本,基于医院的横断面研究

Eman Alsheikh, E. M. Amr, F. Zahran
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引用次数: 3

摘要

背景:与正常人相比,缺铁性贫血(IDA)患者具有特殊的口腔表现和特殊的血液特征,并且所有口腔表现的频率明显更高。方法:对Kasr Al Ainy医院血液科诊断为IDA的180例患者进行研究,通过与研究者的访谈获取患者的病史,随后进行临床检查,以确定他们是否有任何广泛性贫血症状和体征。记录口腔疾患及有无口腔黏膜改变。任何形式的口腔粘膜病变的诊断主要是在临床基础上完成的,取决于对病变的识别。结果:不同Hb水平的IDA患者口腔表现为:面色苍白(97.2%)、萎缩性舌炎(34.4%)、舌裂(24.4%)等口腔病变的发生率较高;复发性阿氏溃疡(RAU)(6.1%)、口腔黏膜烧灼感(2.2%)、角状口炎(AC)(1.1%)、口腔色素沉着(1.1%)、地理性舌(GT)(1.1%)、口腔扁平苔藓(0.6%)的发生率较低。结论:IDA患者有特殊的口腔表现。根据在我们的患者中检测到的特殊血液和铁谱,无论是Hb水平还是血清铁或铁蛋白水平都没有显示出与口腔表现存在任何显著关联。在当前研究的限制范围内,发现RAU与贫血持续时间之间的唯一显著关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Oral Manifestations of Iron Deficiency Anemia in a Sample of Egyptian Population, Hospital-Based Cross-Sectional Study
Background: Iron deficiency anemia (IDA) patients have specific oral manifestations and a particular blood profile as compared to normal individuals as well as significantly higher frequencies of all oral manifestations. Methods: The study was conducted on 180 patients attending the Hematology Department in Kasr Al Ainy Hospital and diagnosed as having IDA, the history was taken from patients through an interview with the investigator and followed by clinical examination to determine if they had any generalized symptoms and signs of anemia. The oral complaints and the presence of oral mucosal changes were recorded. The diagnosis of any of the forms of oral mucosal lesions was done mainly on clinical basis, depending on the recognition of the lesion. Results: The results showed that the prevalence of oral manifestations at different Hb levels in the IDA patients included high frequency of oral lesions such as: pallor (97.2%), atrophic glossitis (AG) (34.4%), fissured tongue (24.4%), and low frequency of: recurrent aphthous ulcer (RAU) (6.1%), burning sensation of the oral mucosa (2.2%), angular cheilitis (AC) (1.1%), oral pigmentation (1.1%), geographic tongue (GT) (1.1%), and oral lichen planus (OLP) (0.6%). Conclusion: Patients with IDA had special oral manifestations. In the light of the particular blood and iron profile detected in our patients, neither Hb level nor serum iron or ferritin level were showing any significant association with the presence of oral manifestations. Within the limitations of the current study, the only significant association was found between RAU and the duration of anemia.
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