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SAN DIEGO -- Nearly half of adults with sickle cell anemia have osteopenia, according to results from a small study.
"Iron overloading from blood transfusion may be a relevant contributing factor, as liver iron was significantly greater in osteopenic than nonosteopenic patients," Farrukh T. Shah, M.D., said in a poster session at the annual meeting of the American Society of Hematology. "We need to look in more detail at transfused vs. nontransfused patients and see whether the iron overload story holds out."
Other potential contributory mechanisms based on previous clinical research include marrow expansion, bone infarction, delayed puberty from anemia, low vitamin D levels, iron chelation therapy, and hypogonadism.
For the study, the investigators performed dual-energy x-ray absorptiometry (DEXA) scans on 10 female and 7 male consecutive sickle cell disease patients who had previously been transfused or were currently on a transfusion program. The investigators also assessed hypogonadism, vitamin [D.sub.3], ...
Source: HighBeam Research, Many sickle cell patients have weak bones.(Gynecology)