Iron deficiency anemia and thrombosis risk in children-revisiting an old hypothesis.

anemia cerebral sinus venous thrombosis (CVST) iron deficiency iron deficiency anemia (IDA) pediatric thrombosis

Journal

Frontiers in pediatrics
ISSN: 2296-2360
Titre abrégé: Front Pediatr
Pays: Switzerland
ID NLM: 101615492

Informations de publication

Date de publication:
2022
Historique:
received: 23 04 2022
accepted: 11 07 2022
entrez: 18 8 2022
pubmed: 19 8 2022
medline: 19 8 2022
Statut: epublish

Résumé

Iron deficiency anemia has a high prevalence in children and has repeatedly been implicated as a risk factor for arterial and venous thrombosis. As an effective therapy for iron deficiency anemia is available, understanding the association between this form of anemia and the potentially severe thrombosis phenotype is of major clinical interest. Recent findings shed light on pathophysiology of hypercoagulability resulting from iron-restricted erythropoiesis. Specifically, an animal model of induced iron deficiency allowed identifying multiple mechanisms, by which iron deficiency anemia results in increased thrombus formation and thrombus progression both in arterial and venous thrombosis. These findings complement and support conclusions derived from clinical data. The purpose of this mini review is to summarize current evidence on the association of iron deficiency anemia and thrombosis. We want to increase the awareness of iron deficiency as a risk factor for thrombosis in the pediatric population. We discuss how novel pathophysiological concepts can be translated into the clinical settings and suggest clinical studies on prevention and treatment strategies in high-risk patient groups.

Identifiants

pubmed: 35979407
doi: 10.3389/fped.2022.926925
pmc: PMC9376258
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

926925

Informations de copyright

Copyright © 2022 Kalff, Cario and Holzhauer.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Hannah Kalff (H)

Department of Pediatric Hematology and Oncology, Charité University Medicine, Berlin, Germany.

Holger Cario (H)

Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.

Susanne Holzhauer (S)

Department of Pediatric Hematology and Oncology, Charité University Medicine, Berlin, Germany.

Classifications MeSH