Iron Overload Clinical Trial
Official title:
Evaluation of Iron Overload in the Heart, Liver and Pancreas: Patients With Sickle β Thalassemia and Sickle Cell Anemia.
Sickle cell anemia and Sickle cell β thalassemia patients require multiple transfusions in
order to avoid chronic anemia sequel. This regimen entails intrinsic deleterious effects,
the majority of which are related to iron deposition in the reticuloendothelial system.
Thus, iron is deposited in hepatic, myocardial and endocrine glands tissues. Tools available
for iron load evaluation include serum ferrtin levels, liver biopsy and echocardiography,
all are non specific.
The purpose of this work is to compare iron overload in the liver, heart and pancreas in
Sickle cell anemia and Sickle cell β thalassemia patients using T2* MRI sequences.
Sickle cell anemia and Sickle cell β thalassemia patients recieving multiple transfusions
are exposed to the effects of iron deposition in the reticuloendothelial system, including
cardiac muscle, liver and pancreas. Tools available for iron load evaluation include serum
ferrtin levels, liver biopsy and echocardiography, all are non specific.
The purpose of this work is to compare iron overload in the liver, heart and pancreas in
Sickle cell anemia and Sickle cell β thalassemia patients using T2* MRI sequences.
Patients and Methods: 27 Sickle cell anemia and 28 Sickle cell β thalassemia will undergo
transthoracic echocardiography, cardiac MRI using T2* sequences and clinical and laboratory
evaluation for iron overload including ferritin levels and oral glucose tolerance test
;
Observational Model: Case Control, Time Perspective: Prospective
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