Anemia Defisiensi Besi Berat pada Remaja
Abstract
Iron deficiency anemia (IDA) is anemia caused by a reduced body iron reserve to form red blood cells. During periods of rapid growth, such as the first year of life and adolescence, the need for iron increases, leading to an increased incidence of iron deficiency anemia during these periods. Deficiency of iron can lead to concealed intestinal bleeding. This case report discusses a 10-year and 7-month-old male patient with a diagnosis of severe iron deficiency anemia accompanied by occult bleeding. The patient received a blood transfusion due to a very low Hb level of 3.9 g/dl. The transfusion was administered gradually with a target Hb of 6 g/dl and was followed by iron supplementation. The blood transfusion provided was in the form of red cell packs, administered slowly in sufficient amounts to raise the Hb to a safe level.
Keywords
Full Text:
PDFReferences
PR D. Iron Deficiency and Related Nutritional Anemias. V. Oski FA NG, editor. Philadelphia: Saunders; 1998. 413–446 p.
Purnamasari R, Murti A HR. Anemia Defisiensi Besi. In: Ugrasena EWYMNSMBSIDG, editor. Buku Ajar Hematologi Onkologi Anak. Revisi. Jakarta: Ikatan Dokter Anak Indonesia; 2018. p. 27–40.
McLean E, Cogswell M, Egli I, Wojdyla D, De Benoist B. Worldwide prevalence of anaemia, WHO global database on anemia 1993-2005. Public Health Nutr. 2009;12:7–13.
Kemenkes RI. Laporan Riskesdas 2013 [Internet]. 2013.
Mesías M, Seiquer I, Navarro MP. Iron Nutrition in Adolescence. Crit Rev Food Sci Nutr. 2013;53:1226–37.
Abdulsalam M, Daniel A. Diagnosis, Pengobatan dan Pencegahan Anemia Defisiensi Besi. Sari Pediatr. 2016;4:74.
P L. Iron deficiency anemia. In: Manual of Pediatric Hematology and Oncology. 6th ed. New York: Churchill; 2016. p. 61–83.
Marcdante KJ KR. Nelson Essential of Pediatrics. 8th ed. Elsevier. Philadelphia: Elsevier; 2019.
Wang M. Iron deficiency and other types of anemia in infants and children. Am Fam Physician. 2016;93:270–8.
Lestari IP, Lipoeto NI, Almurdi A. Hubungan Konsumsi Zat Besi dengan Kejadian Anemia pada Murid SMP Negeri 27 Padang. J Kesehat Andalas. 2018;6:507.
Mesihović-Dinarević S, Ibrahimović J, Hasanbegović E, Ićindić-Nakas E, Smajić A. Heart murmur and anaemia in the pediatric population. Bosn J Basic Med Sci. 2005;5:39–45.
Alam SLS, Purnamasari R, Bahar E. Mentzer index as a screening tool fo iron deficiency anemia in 6-12 year old children. Paediatr Indones. 2014;54:294–8.
Ahmad MS, Farooq H, Maham SN, Qayyum Z, Waheed A, Nasir W. Frequency of Anemia and Iron Deficiency among Children Starting First Year of School Life and Their Association with Weight and Height. Hindawi. 2018;2018:1–4.
Sirob Yaqob K. Occult Blood in Iron Deficiency Anemia: The Key Diagnostic Approach to Treatment in Chronic Cases. EC Paediatr. 2017;5:132–8.
Goddard AF, James MW, McIntyre AS, Scott BB. Guidelines for the management of iron deficiency anaemia. Gut. 2011;60:1309–16.
Gunadi D, Lubis B, Rosdiana N. Terapi dan Suplementasi Besi pada Anak. Sari Pediatr. 2009;11:207–10.
Widiaskara I, Pramitha P, Suryawan IWB, Ugrasena I. Gambaran Hematologi Anemia Defisiensi Besi pada Anak. Sari Pediatr. 2012;13:362–5.
Lundblad K, Rosenberg J, Mangurten H, Angst DB. Severe Iron Deficiency Anemia in Infants and Young Children, Requiring Hospital Admission. Glob Pediatr Heal. 2016;3:1–5.