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Incidence of iron deficiency and its pathogenesis in patients with H. pylori infection

https://doi.org/10.31146/1682-8658-ecg-187-3-130-135

Abstract

606 patients (405 men and 201 women) with HP infection were examined, 121 (m 67; f 54) found clinical or clinical and laboratory signs of iron deficiency, the frequency of iron deficiency in the examined group of patients with HP was 19.9% (16.8-23.3; CI 95%). 25 (20.7%) were diagnosed with anaemia, 66 (54.5%) patients had a latent deficit of iron, 30 patients (24.8%) showed only a decrease in TS, which is typical for pre-latent iron deficiency. 38 (31.4%) patients had a «true» iron deficiency, 44 (36.4%) patients had a combined variant of iron deficiency, and 39 (32.2%) iron deficiency developed as a result of chronic inflammation. There was a significant difference in the level of hepcidin in patients with different options for iron deficiency. In patients with “isolated” iron deficiency, it was 12.4 ± 2.3 ng/ml, vs 48.2-± 20.2 ng/ml vs 189.7 ± 31.1 ng / ml in patients with a combined pathogenic variant of iron deficiency and in patients with iron deficiency of chronic inflammation, respectively.

About the Authors

N. V. Shulyat’Eva
FGAOU VO First Moscow State Medical University. I. M. Sechenov, Ministry of Health of Russia (Sechenov University)
Russian Federation


V. N. Drozdov
FGAOU VO First Moscow State Medical University. I. M. Sechenov, Ministry of Health of Russia (Sechenov University)
Russian Federation


E. V. Shikh
FGAOU VO First Moscow State Medical University. I. M. Sechenov, Ministry of Health of Russia (Sechenov University)
Russian Federation


References

1. Hu, Y. et al. Study on the anaemia status of Chinese urban residents in 2010-2012. Chin J Prev Med. 50, 213-216 (2016).

2. Muhsen, K. & Cohen, D. Helicobacter pylori Infection and Anemia. Am J Trop Med Hyg. 89, 398-398 (2013)

3. Mei-Yan Xu, Bing Cao, Bao-Shi Yuan, Jian Yin1, Lan Liu & Qing-Bin Lu. Association of anaemia with Helicobacter pylori infection: a retrospective study. Scientific REPORTS. 7: 13434

4. Afifi RAR, Ali DK, Shaheen IAM. A localized case-control study of extra-gastric manifestations of Helicobacter pylori infection in children. Indian J Pediatr. 2011; 78:418-22; PMID:21165719;

5. Choe YH, Kim SK, Hong YC. The relationship between Helicobacter pylori infection and iron deficiency: seroprevalence study in 937 pubescent children. Arch Dis Child. 2003; 88:178; PMID:12538339;

6. Muhsen K, Barak M, Henig C, Alpert G, Ornoy A, Cohen D. Is the association between Helicobacter pylori infection and anaemia age-dependent? Helicobacter. 2010; 15:467-72; PMID:21083753;

7. Queiroz DMM, Harris PR, Sanderson IR, Windle HJ, Walker MM, Rocha AMC, Rocha GA, Carvalho SD, Bittencourt PF, de Castro LP, et al. Iron status and Helicobacter pylori infection in symptomatic children: an international multi-centered study. PLoS One. 2013; 8: e68833; PMID:23861946;

8. Soglu OD, Gökçe S, Saglam AT, Sökücü S, Saner G. Association of Helicobacter pylori infection with gastroduodenal disease, epidemiologic factors and iron-deficiency anemia in Turkish children undergoing endoscopy, and impact on growth. Pediatr Int. 2007; 49:858-63; PMID:18045286;

9. Milman N, Rosenstock S, Andersen L, Jorgensen T, Bonnevie O. Serum ferritin, haemoglobin, and Helicobacter pylori infection: a seroepidemiologic survey comprising 2794. Danish adults. Gastroenterology. 1998 Aug; 115(2):268-274.

10. Peach HG, Bath NE, Farish SJ. Helicobacter pylori infection: an added stressor on the iron status of women in the community. Med J Aust. 1998; 169:188-90.

11. Berg G, Bode G, Blettner M, Boeing H, Brenner H. Helicobacter pylori infection and serum ferritin: A population-based study among 1806 adults in Germany. Am J Gastroenterol. 2001 Apr; 96(4):1014-1018.

12. Starostin B. D. Treatment of Helicobacter руlогі infection-Maastricht V/Florentine consensus report (Translation with commentary). Gastroenterology of St. Petersburg. 2017; (1): 2-22. (In Russ.)@@ Старостин Б. Д. Лечение Helicobacter руlогі-инфекции - Маастрихсткий V/Флорентийский консенсусный отчет (перевод с комментариями) // Гастроэнтерология Санкт-Петербурга. 2017; (1): 2-22.

13. Nemeth E, Ganz T. Hepcidin and iron-loading anaemias. Haematologica. 2006; 91(6): 727-732.

14. Azab SF, Esh AM. Serum hepcidin levels in Helicobacter pylori-infected children with iron-deficiency anaemia: a case-control study. Ann Hematol. 2013; 92(11): 1477-1483.

15. Cherian S, Forbes DA, Cook AG, Sanfiippo FM, Kemna EH, Swinkels DW, Burgner DP. An insight into the relationships between hepcidin, anaemia, infections and in- flammatory cytokines in pediatric refugees: a cross-sectional study. PLoS One. 2008; 3: e4030.

16. Schwarz P, Kübler JA, Strnad P, Müller K, Barth TF, Gerloff A, Feick P, Peyssonnaux C, Vaulont S, Adler G, Kulaksiz H. Hepcidin is localised in gastric parietal cells, regulates acid secretion and is induced by Helicobacter pylori infection. Gut. 2012; 61(2): 193-201.

17. Ozkasap S, Yarali N, Isik P, Bay A, Kara A, Tunc B. The role of prohepcidin in anaemia due to Helicobacter pylori infection. Pediatr Hematol Oncol. 2013; 30(5): 425-431.

18. Sapmaz, F., Başyiğit, S., Kalkan, İ. H., Kısa, Ü., Kavak, E. E., & Güliter, S. (2016). The impact of Helicobacter pylori eradication on serum hepcidin-25 level and iron parameters in patients with iron deficiency anaemia. Wiener Klinische Wochenschrift, 128(9-10), 335-340.


Review

For citations:


Shulyat’Eva N.V., Drozdov V.N., Shikh E.V. Incidence of iron deficiency and its pathogenesis in patients with H. pylori infection. Experimental and Clinical Gastroenterology. 2021;(3):130-135. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-187-3-130-135

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