Järnbristanemi
Senast uppdaterad: Senast reviderad:
Sakkunnig:Peter Johansson
Definition:
Järnbrist och samtidig anemi. Delas in i absolut och funktionell järnbrist.
Förekomst:
Prevalensen hos kvinnor är 4–14 % och hos män 0–2 %.
Symtom:
Trötthet, dyspné och huvudvärk är typiska symtom.
Kliniska fynd:
I typfallet är patienten blek, takykard och takypnoisk. Blåsljud över hjärtat kan förekomma.
Diagnostik:
Baseras på prover, med Hb-värde talande för anemi och ferritin <15 eller <30 µg/L. Värden 30–99 µg/L kan också innebära järnbrist, särskilt vid samtidig förekomst av inflammation. MCV, transferrin och transferrinmättnad kan ge mer information.
Behandling:
Består av peroral eller parenteral järnsubstitution.
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- Peter Johansson, med dr och överläkare, hematologsektionen Sahlgrenska Universitetssjukhus
- Remy Waardenburg, specialist i allmänmedicin, medicinsk redaktör Medibas