Abstract
Iron is the most abundant essential trace element inside human body. Iron deficiency anemia is the most common nutritional deficiency worldwide. It reportedly causes reduction in working capacity, hampers mental development in growing children and young adults, and significantly worsens the quality of daily life. Nonpregnant women in reproductive age group and pregnant women are equally vulnerable to iron deficiency. Apart from systemic signs and symptoms like pallor, fatigability, palpitations, koilonychia, light headedness, and shortness of breath, oropharyngeal region can also provide important diagnostic clues to this systemic condition. Moreover, other oral conditions such as aphthous ulcers and burning mouth syndrome; premalignant conditions such as Plummer Vinson syndrome, oral lichen planus, and oral submucous fibrosis; and malignant disease such as oral squamous carcinoma have been associated with iron deficient state. This review appraises various signs and symptoms encountered within oropharyngeal region in the iron deficient state and underlying biological changes responsible for those clinical manifestations.
Abbreviations
- ASHA:
-
Accredited social health activist
- BMS:
-
Burning mouth syndrome
- DNA:
-
Deoxyribonucleic acid
- Govt. & Govt. Aided:
-
Government and government aided
- IDA:
-
Iron deficiency anemia
- IFA:
-
Iron/Folic acid
- NFHS-3:
-
National Family Health Survey-3
- NRHM:
-
National Rural Health Mission
- OLP:
-
Oral lichen planus
- OSCC:
-
Oral squamous cell carcinoma
- OSMF:
-
Oral submucous fibrosis
- PVS:
-
Plummer Vinson syndrome
- RBC:
-
Red blood cells
- SLA:
-
Sex-linked anemic
- TfR:
-
Transferrin receptor
- WHO:
-
World Health organization
References
Angadi PV, Rao SS (2011) Areca nut in pathogenesis of oral submucous fibrosis: revisited. J Oral Maxillofac Surg 10:1–9
Benoist BD, McLean E, Ines Egli I, Cogswell M (2008) Worldwide prevalence of anaemia 1993–2005: WHO global database on anaemia. WHO press, Spain.
Bhattacharya PT, Khaitan T, Sarkar SB et al (2016a) Oral submucous fibrosis secondary to iron deficiency anaemia: a case report, etiopathogenesis and management. J Nutr Health Aging 20(2):205–208
Bhattacharya PT, Misra SR, Hussain M (2016b) Nutritional aspects of essential trace elements in oral health and disease: an extensive review. Scientifica. doi:10.1155/2016/5464373
Camaschella C (2015) Iron-deficiency Anaemia. N Engl J Med 372:1832–1843
Chisholm M (1974) The association between webs, iron and post-cricoid carcinoma. Postgrad Med J 50:215–219
Dantas RO (1993) Esophageal motility impairment in Plummer-Vinson syndrome. Correction by iron treatment. Dig Dis Sci 38:968–971
Dinler G, Tander B, Kalayci AG et al (2009) Plummer-Vinson syndrome in a 15-year-old boy. Turk J Pediatr 51(4):384–386
Doherty CP (2007) Host–pathogen interactions: the role of iron. J Nutr 137:1341–1344
Ganapathy KS, Gurudath S, Balikai B et al (2011) Role of iron deficiency in oral Submucous fibrosis: an initiating or accelerating factor. J Indian Acad Oral Med Radiol 23(1):25–28
Ghosh K (2006) Non haematological effects of iron deficiency- a perspective. Indian J Med Sci 60:30–37
Gopalan C, Rama Sastri BV, Balasubramanian SC (2011) Nutritive value of Indian foods. National Institute of Nutrition, ICMR, Hyderabad
Greenberg MS, Glick M, Ship JA (2008) Burket’s oral Medicine, 11th edn. Hamilton, BC Decker Inc, pp 79–84
Gupta PC, Hebert JR, Bhonsle RB et al (1999) Influence of dietary factors on oral precancerous lesions in a population-based case-control study in Kerala. India Cancer 85:1885–1893
Halliwell B (1994) Free radicals, antioxidants, and human disease: curiosity, cause, or consequence? Lancet 344:721–724
Institute of Medicine (US) Panel on Micronutrients. Food and Nutrition Board (2001) Dietary Reference intakes for vitamin a, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc: a report of the panel on micronutrients. National Academy Press, Washington, DC
Jayasooriya PR, Jayasinghe KA, Tilakaratne WM (2011) Oral submucous fibrosis. J Investig Clin Dent 2:171–175
Johnson-Wimbley TD, Graham DY (2011) Diagnosis and management of iron deficiency anaemia in the 21st century. Ther Adv Gastroenterol 4:177–184
Kapil U, Bhadoria AS (2014) National Iron-Plus initiative guidelines for control of iron deficiency anaemia in India, 2013. Natl Med J India 27(1):27–29
Lin HP, Wang YP, Chen HM et al (2013) Significant association of hematinic deficiencies and high blood homocysteine levels with burning mouth syndrome. J Formos Med Assoc 112:319–325
Loiarro M, Ruggiero V, Sette C (2010) Targeting TLR/IL-1R signalling in human disease. Mediat Inflamm. doi:10.1155/2010/674363
Long RG, Hlousek L, Doyle JL (1998) Oral manifestations of systemic diseases. Mt Sinai J Med 65:309–315
Lopez-Jornet P, Camacho-Alonso F, Andujar-Mateos P et al (2010) Burning mouth syndrome: update. Med Oral Patol Oral Cir Bucal 15:e562–e568
Louw VJ, du Preez P, Malan A et al (2007) Pica and food craving in adult patients with iron deficiency in Bloemfontein, South Africa. S Afr Med J 97:1069–1071
Lu SY (2016) Perception of iron deficiency from oral mucosa alterations that show a high prevalence of Candida infection. J Formos Med Assoc 115:619–627
Mignogna MD, Fedele S, Lo RL (2004) The World cancer report and the burden of oral cancer. Eur J Cancer Prev 13:139–142
Montagnese C, Santarpia L, Buonifacio M (2015) European food-based dietary guidelines: a comparison and update. Nutrition 13:908–915
Montes GR, Vilella KD, Bonotto DV et al (2014) Atrophic glossitis as a clinical sign of severe anaemia – report of two cases. Polski Przegląd Otorynolaryngologiczny 3(4):201–204
Negri E, Franceschi S, Bosetti C et al (2000) Selected micronutrients and oral and pharyngeal cancer. Int J Cancer 86:122–127
Neville BW, Damm DD, Allen CM et al (2009) Oral and maxillofacial pathology, 3rd edn. Saunders Elsevier Inc, Noida (India), p 15. 827–829
Oppenheimer SJ (2001) Iron and its relation to immunity and infectious disease. J Nutr 131:616S–633S
Otten JJ, Hellwig JP, Meyers LD (2006) Institute of Medicine. Dietary reference intakes: the essential guide to nutrient requirements. The National Academies Press, Washington, DC
Petridou E, Zavras AI, Lefatzis D et al (2002) The role of diet and specific micronutrients in the etiology of oral carcinoma. Cancer 94:2981–2988
Reddy V, Wanjari PV, Banda NR et al (2011) Oral Submucous fibrosis: correlation of clinical grading to various habit factors. Int J Dent Clin 3(1):21–24
Rennie JS, MacDonald G, Daggs JH (1982) Quantitative analysis of human buccal epithelium in iron deficiency anaemia. J Oral Pathol 11:39–46
Richie JP Jr, Kleinman W, Marina P, Abraham P, Wynder EL, Muscat JE (2008) Blood iron, glutathione and micronutrient levels and the risk of oral cancer. Nutr Cancer 60(4):474–482
Samad A, Mohan N, Balaji RV et al (2015) Oral manifestations of Plummer-Vinson syndrome: a classic report with literature review. J Int Oral Health 7(1):1–4
Shafer WG, Hine MK, Levy BM (2003) A textbook of oral pathology, 4th edn. Saunders Elsevier, Noida (India), pp 556–557
Shaw NS, Yeh WT, Pan WH (1999) Prevalence of iron deficiency in the general population in Taiwan. Nutri Sci J 24:119–138
Shine JW (1997) Microcytic anaemia. Am Fam Physician 55:2455–2462
Soukka T, Tenovuo J, Lenander-Lumikari M (1992) Fungicidal effect of human lactoferrin against Candida albicans. FEMS Microbiol Lett 69:223–228
Vives Corrons JL, Miguel-Garcia A, Pujades MA et al (1995) Increased susceptibility of microcytic red blood cells to in vitro oxidative stress. Eur J Haematol 55:327–331
Vorster HH, Badham JB, Venter CS (2013) An introduction to the revised food-based dietary guidelines for Africa. S Afr J Clin Nutr 26(3):S1–S164
White PJ, Broadley MR (2009) Biofortification of crops with seven mineral elements often lacking in human diets – iron, zinc, copper, calcium, magnesium, selenium and iodine. New Phytol 182:49–84
WHO/UNICEF/UNU (2001) Iron deficiency anaemia assessment, prevention, and control: a guide for programme managers. World Health Organization, Geneva
Wu YC, Wang YP, Chang JYF, Cheng SJ, Chen HM, Sun A (2014) Oral manifestations and blood profile in patients with iron deficiency anaemia. J Formos Med Assoc 113:83–87
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Bhattacharya, P.T., Misra, S.R. (2017). Effects of Iron Deficiency on the Oropharyngeal Region: Signs, Symptoms, and Biological Changes. In: Preedy, V., Patel, V. (eds) Handbook of Famine, Starvation, and Nutrient Deprivation. Springer, Cham. https://doi.org/10.1007/978-3-319-40007-5_4-1
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