Unveiling the Spectrum of Megaloblastic Anemia: Insights from a Multifaceted Study at Abbas Institute of Medical Sciences, Muzaffarabad
DOI:
https://doi.org/10.61919/jhrr.v3i2.190Keywords:
Megaloblastic anemia, Pathology, EDTA, Case control studyAbstract
Background: This study aimed to determine the frequency of Megaloblastic Anemia cases presenting in the outpatient department (OPD) and wards of AIMS Hospital in Muzaffarabad, AJ&K.
Methods: Conducted at the Pathology department of Abbas Institute of Medical Sciences from May 2022 to October 2022, this case-control study analyzed 125 cases from OPD and wards. Patient interviews, venous blood sample collection, and complete blood picture (CP) analysis, including peripheral film (PF) tests and Vitamin B12 and folates levels reports, were conducted using a Hematology analyzer. Statistical analysis using SPSS version 25.0 was employed.
Results: Statistical analysis revealed a mean age of 3.656, with females having a higher frequency of Megaloblastic Anemia, especially during childbearing age. Males had a higher frequency in children and the elderly. The residential distribution showed a balance of village and city dwellers, whereas the patient category breakdown showed a higher frequency in the young age group.
Conclusion: The study highlighted Megaloblastic Anemia's serious public health significance, its causes, and the observed trends in the study population. Surgical interventions, particularly abdominal surgeries, were identified as potential contributors. Analyses of peripheral smears revealed varying degrees of anemia severity, with most cases being moderate. The study concluded that Megaloblastic Anemia is more common in females, especially during childbearing age, and in males, especially in children and the elderly. These findings highlight the importance of targeted interventions and nutritional education programs in addressing the specific demographic trends observed in this study population.
Downloads
References
Sayar EH, Orhaner BB, Sayar E, NesrinTuran F, Küçük M. The frequency of vitamin B12, iron, and folic acid deficiency in the neonatal period and infancy, and the relationship with maternal levels. Turk Pediatri Ars. 2020;55(2):139-48.
Oo TH. Diagnostic difficulties in pernicious anemia. Discov Med. 2019;28(155):247-53.
Morkbak AL, Hvas AM, Milman N, Nexo E. Holotranscobalamin remains unchanged during pregnancy. Longitudinal changes of cobalamins and their binding proteins during pregnancy and postpartum. Haematologica. 2007;92(12):1711-2.
Margalit I, Cohen E, Goldberg E, Krause I. Vitamin B12 Deficiency and the Role of Gender: A Cross-Sectional Study of a Large Cohort. Ann Nutr Metab. 2018;72(4):265-71.
Khurshid A, Fatima S, Altaf C, Malik HS, Sajjad Z, Khadim MT. Thiamine Responsive Megaloblastic Anaemia, Diabetes Mellitus and Sensorineural Hearing Loss in a Child. J Coll Physicians Surg Pak. 2018;28(9):S169-s71.
Wickramasinghe SN. Diagnosis of megaloblastic anaemias. Blood Rev. 2006;20(6):299-318.
Zulfiqar AA, Andres E. Association pernicious anemia and autoimmune polyendocrinopathy: a retrospective study. J Med Life. 2017;10(4):250-3.
Wazir SM, Ghobrial I. Copper deficiency, a new triad: anemia, leucopenia, and myeloneuropathy. J Community Hosp Intern Med Perspect. 2017;7(4):265-8.
Green R, Datta Mitra A. Megaloblastic Anemias: Nutritional and Other Causes. Med Clin North Am. 2017;101(2):297-317.
Green R. Vitamin B(12) deficiency from the perspective of a practicing hematologist. Blood. 2017;129(19):2603-11.
Nykjaer A, Fyfe JC, Kozyraki R, Leheste JR, Jacobsen C, Nielsen MS, et al. Cubilin dysfunction causes abnormal metabolism of the steroid hormone 25(OH) vitamin D(3). Proc Natl Acad Sci U S A. 2001;98(24):13895-900.
Birn H, Fyfe JC, Jacobsen C, Mounier F, Verroust PJ, Orskov H, et al. Cubilin is an albumin binding protein important for renal tubular albumin reabsorption. J Clin Invest. 2000;105(10):1353-61.
Stouten K, Riedl JA, Droogendijk J, Castel R, van Rosmalen J, van Houten RJ, et al. Prevalence of potential underlying aetiology of macrocytic anaemia in Dutch general practice. BMC Fam Pract. 2016;17(1):113.
Wickramasinghe SN. Morphology, biology and biochemistry of cobalamin- and folate-deficient bone marrow cells. Baillieres Clin Haematol. 1995;8(3):441-59.
Tefferi A, Pruthi RK. The biochemical basis of cobalamin deficiency. Mayo Clin Proc. 1994;69(2):181-6.
Rusak E, Chobot A, Krzywicka A, Wenzlau J. Anti-parietal cell antibodies - diagnostic significance. Adv Med Sci. 2016;61(2):175-9.
Hesdorffer CS, Longo DL. Drug-Induced Megaloblastic Anemia. N Engl J Med. 2015;373(17):1649-58.
Gudgeon P, Cavalcanti R. Folate testing in hospital inpatients. Am J Med. 2015;128(1):56-9.
Lindenbaum J, Rosenberg IH, Wilson PW, Stabler SP, Allen RH. Prevalence of cobalamin deficiency in the Framingham elderly population. Am J Clin Nutr. 1994;60(1):2-11.
Toh BH. Diagnosis and classification of autoimmune gastritis. Autoimmun Rev. 2014;13(4-5):459-62.
Saif ur R, Zafar L, Imran T, Ghafoor A, Durrani AA, Ahmed TA. Frequency of intrinsic factor antibody in megaloblastic anaemia. J Coll Physicians Surg Pak. 2014;24(3):157-9.
Norman EJ, Morrison JA. Screening elderly populations for cobalamin (vitamin B12) deficiency using the urinary methylmalonic acid assay by gas chromatography mass spectrometry. Am J Med. 1993;94(6):589-94.
Porter FS, Rogers LE, Sidbury JB, Jr. Thiamine-responsive megaloblastic anemia. J Pediatr. 1969;74(4):494-504.
Devalia V, Hamilton MS, Molloy AM. Guidelines for the diagnosis and treatment of cobalamin and folate disorders. Br J Haematol. 2014;166(4):496-513.
Bizzaro N, Antico A. Diagnosis and classification of pernicious anemia. Autoimmun Rev. 2014;13(4-5):565-8.
Borgna-Pignatti C, Azzalli M, Pedretti S. Thiamine-responsive megaloblastic anemia syndrome: long term follow-up. J Pediatr. 2009;155(2):295-7.
Stamm RA, Houghton LA. Nutrient intake values for folate during pregnancy and lactation vary widely around the world. Nutrients. 2013;5(10):3920-47.
Stabler SP. Clinical practice. Vitamin B12 deficiency. N Engl J Med. 2013;368(2):149-60.
Saif-ur-Rehman LZ, Imran T, Ghafoor A, Durrani AA, Ahmed TA. Frequency of Intrinsic Factor Antibody in Megaloblastic Anaemia. prevention.8:9.
Margalit I, Cohen E, Goldberg E, Krause I. Vitamin B12 deficiency and the role of gender: a cross-sectional study of a large cohort. Annals of Nutrition and Metabolism. 2018;72(4):265-71.
Hariz A, Bhattacharya PT. Megaloblastic Anemia. StatPearls. Treasure Island (FL) ineligible companies. Disclosure: Priyanka Bhattacharya declares no relevant financial relationships with ineligible companies.: StatPearls Publishing
Copyright © 2023, StatPearls Publishing LLC.; 2023.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Abdul Mannan Kiani, Allah Dad Khan, Nabeel Saeed, Syed Sohail Ahmad, Wali Khan, Raja Waseem, Farukh Javaid
This work is licensed under a Creative Commons Attribution 4.0 International License.
Public Licensing Terms
This work is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). Under this license:
- You are free to share (copy and redistribute the material in any medium or format) and adapt (remix, transform, and build upon the material) for any purpose, including commercial use.
- Attribution must be given to the original author(s) and source in a manner that is reasonable and does not imply endorsement.
- No additional restrictions may be applied that conflict with the terms of this license.
For more details, visit: https://creativecommons.org/licenses/by/4.0/.