par Fondu, Pierre 
;Bouton, Jean Marie ;De Martelaere Laurent, E.;Mandelbaum, Israel
Référence Nouvelle revue française d'hématologie, 18, 1, page (5-21)
Publication Publié, 1977
;Bouton, Jean Marie ;De Martelaere Laurent, E.;Mandelbaum, Israel Référence Nouvelle revue française d'hématologie, 18, 1, page (5-21)
Publication Publié, 1977
Article révisé par les pairs
| Résumé : | The iron stores are normal in marasmic kwashiorkor seen in Kivu, but they notably decrease on re-feeding. On admission, the total iron binding capacity depends not only on the severity of the protein depletion but also on the iron stores. There exists an abnormality of the iron release from the stores; this cannot be attributed to the hypotransferrinemia or to the hypoceruloplasminemia, which are both moderate, nor to an ascorbic acid deficiency, but possibly to the inflammatory state which is a feature of kwashiorkor. The iron deficiency which occurs on re-feeding is not explained by abnormalities of iron absorption or by increased iron loss, but by the raised requirement for iron. Parenteral iron treatment alone is required to normalise the packed cell volume and the red cell volume after re-feeding. |
