Table 2. Iron deficiency, α-thalassemia genotypes and acute seizures.
Indices | Cases, N = 133 | Controls, N = 133 | P-value |
Hematological indices | |||
Mean (SD) white blood cell count/µl | 13.0 (7.4) | 14.1 (8.3) | 0.240 |
Hemoglobin <110 g/L, (%) | 115 (86.5) | 117 (88.0) | 0.713 |
Packed cell volume <33% | 104 (78.2) | 106 (79.7) | 0.764 |
Mean cell volume (SD), fl | 71.6 (9.4) | 73.6 (12.1) | 0.129 |
Microcytosis (age defined, %)* | 86 (64.7) | 72 (54.1) | 0.080 |
Biochemical indices of iron deficiency | |||
Median (IQR) serum iron, µg/dl | 16.9 (11.4–23.8) | 18.7 (12.0–26.4) | 0.135 |
Median (IQR) serum ferritin, µg/ml | 126 (37–296) | 106 (33–299) | 0.479 |
Mean serum transferrin, mg/dl | 223 (95) | 227 (110) | 0.720 |
Iron deficiency† | 45 (33.8) | 36 (27.1) | 0.230 |
Iron deficiency anemia‡ | 41 (30.8) | 30 (22.6) | 0.127 |
α-Thalassemia genotype | 0.269§ | ||
Normal (no deletion, %) | 46 (34.6) | 57 (42.9) | |
Heterozygous (single deletion, %) | 65 (48.9) | 61 (45.9) | |
Homozygous (double deletion, %) | 22 (16.5) | 15 (11.3) |
*Microcytosis is defined as age-corrected normal values (MCV<70 fl/µl in children <2 years, <73 fl/µl in children 2–4 years, <75 fl/µl in children 5–7 years and <76 fl/µl in children ≥8 years).
In patients with malaria, iron deficiency was defined as plasma ferritin<30µg/ml if CRP<50mg/ml or as ferritin<273µg/ml if CRP≥50mg/ml and in those without malaria, it was defined as plasma ferritin<12µg/ml if CRP<10mg/ml or as ferritin<30µg/ml if CRP≥10mg/ml.
Iron deficiency and hemoglobin <11g/dl.
Chi square test for trend.