Abstract
We conducted this study to determine the role of iron deficiency as a risk factor for first febrile seizure in children. Fifty children between 6 months to 6 years with first febrile seizure (Cases) and 50 children with febrile illness but without convulsions (Controls) were enrolled from the pediatric ward of a tertiary care hospital. Iron deficiency was determined by estimation of hemoglobin, red blood cell indices and serum ferritin. The mean serum ferritin level (μg/L) was significantly low in Cases (31.9 ± 31.0) as compared to Controls (53.9 ± 56.5) with P = 0.003. Iron deficiency could be a potential risk factor for febrile seizure in children.
References
Johnston MV. Seizures in childhood: Febrile seizures. In: Behrman RE, Kliegman RM, Jenson HB, editors. Nelson’s Textbook of Pediatrics. 17th ed. Pennsylvania: Saunders; 2004. p. 1994–1995.
Pisacane A, Sansone R, Impagliazzo N, Coppola A, Rolando P, D’Apuzzo A, et al. Iron deficiency anemia and febrile convulsion: Case control study in children under 2 years. BMJ 1996; 313: 343.
Kobrinsky NL, Yager JY, Cheang MS, Yatscoff RW, Tenenbein M. Does iron deficiency raise the seizure threshold? J Child Neurol 1995; 10: 105–109.
Oski FA, Honig AS. The effects of therapy on the developmental scores of iron deficient infants. Pediatrics 1978; 92: 21–25
Gupta P, Shah D. Protein Energy Malnutrition. In: Ghai OP, Gupta P, Paul VK, editors. Ghai Essential Pediatrics. 6th ed. New Delhi: CBS Publishers & Distributors; 2004.p. 101–118.
De Gruchy GC. Clinical Hematology in Medical Practice, 5th ed. Victoria: Blackwell Science Ltd; 2004.
Dallman PR, Yip R, Oski FA. Iron deficiency and related nutritional anemias. In: Nathan DG, Oski FA, editors. Hematology of Infancy and Childhood. 4th ed. Mexico: Saunders; 1993. p. 413–450.
Daoud AS, Batieha A, Abu Etiesh F, Gharaibeh N, Ajlouni S, Hijazi S. Iron status: a possible risk factor for first febrile seizure. Epilepsia 2002; 43: 740–743.
Daoud AS, Batieha A, AL-Sheyyab M, Abuekteish F, Hijazi S. Effectiveness of iron therapy on breath holding spells. J Pediatr 1997; 130: 547–550.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Vaswani, R.K., Dharaskar, P.G., Kulkarni, S. et al. Iron deficiency as a risk factor for first febrile seizure. Indian Pediatr 47, 437–439 (2010). https://doi.org/10.1007/s13312-010-0080-8
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13312-010-0080-8