Evidence map›Paper›PMID 34557594›Full record

ReviewHealth science reports2021

Thrombocytopenia in severe iron deficiency anemia in children.

Machiel van den Akker, Laura Chielens, Lisa Lopes, Jaques van Heerden, Mahmoud Zaqout, Jutte van der Werf Ten Bosch

Open access · goldAbstract readReview
In one paragraph

Review in Health science reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.1field-weighted citation impact, top 51% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Machiel van den AkkerDepartment of Pediatrics ZNA Queen Paola Children's Hospital Antwerp Belgium.
Laura ChielensFaculty of Medicine and Health Sciences University of Brussels Jette Belgium.
Lisa LopesFaculty of Medicine and Health Sciences University of Antwerp Antwerp Belgium.
Jaques van HeerdenPediatric Hematology/Oncology Unit, Queen Mathilde Mother and Child Center Antwerp University Hospital Edegem Belgium.
Mahmoud ZaqoutDepartment of Pediatrics ZNA Queen Paola Children's Hospital Antwerp Belgium.
Jutte van der Werf Ten BoschDepartment of Pediatrics ZNA Queen Paola Children's Hospital Antwerp Belgium.ORCID https://orcid.org/0000-0002-2441-9880
Antwerp University Hospital · BEDirectorate-General for Health and Food Safety · BEUniversitair Ziekenhuis Brussel · BEUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimIron deficiency anemia (IDA) is common in the pediatric population and often accompanied by mild thrombocytosis, but rarely profound thrombocytopenia is seen. We describe the data of children with IDA and thrombocytopenia in two centers and discuss the published data in the literature.

methodsIn this retrospective case series, the medical records of patients under the age of 19 years old diagnosed with IDA in two tertiary medical centers over the last 10 years, were reviewed. The data were collected and compared to the data published in the medical literature.

resultsAll the patients presented with severe IDA and thrombocytopenia improved with iron treatment. Although none of the patients had signs of major bleeding, the thrombocytopenia could mostly be classified as severe (platelet count <50×10E9/L). Due to the severity of the anemia, in about half of the cases, a red blood cell transfusion was given. The peak of the platelet count was seen in the first month after the start of iron treatment. In eight cases of children with IDA, the thrombocytopenia appeared after the supplementation of iron was started.

conclusionClinically stable children with severe IDA and thrombocytopenia, where other causes are very unlikely, warrant an empiric monotherapy with iron to prevent unnecessary investigations and treatments.

Indexed as

childrenerythropoietiniron deficiency anemiathrombocytopeniathrombocytosis

Identifiers

PMID34557594
PMCPMC8448394
OpenAlexW3200858149

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.