"Iron overload with impaired glucose tolerance and diabetes"
CASE REPORT
Year : 2006 | Volume : 26 | Issue : 3 | Page : 129-130
Glucose intolerance due to pancreatic hemosiderosis in thalassemic
children
Nilesh Shewale, Prashant Patil
Department of Paediatric, Govt. Medical Collage and Hospital,
Aurangabad (M.S.), India
Correspondence Address:
Nilesh Shewale
Department of Paediatric, Dr. V.M. Govt. Medical College, Civil
Hospital, Solapur, (M.S.)
India
Source of Support: None, Conflict of Interest: None
Iron overload is commonly seen in thalassemia major patients because
of regular blood transfusions without iron chelation therapy (as is
case in developing countries).
Marked iron deposition has been found in liver, pancreas,
thyroid,
parathyroid, adrenal zona glomerulosa, renal medulla, heart, bone
marrow and spleen which causes multiorgan dysfunction.
The association of chronic iron overload with impaired glucose
tolerance and diabetes is well recognized in thalassemics. Impaired
glucose tolerance precedes few months to five years before development
of diabetes.
We report glucose intolerance in thalassemia major children <12 years
old receiving blood transfusions without iron chelation.
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