Iron Deficiency Anemia, Subclinical Hypothyroidism
Conditions
Keywords
iron deficiency anemia, anemia, hypothyroidism, subclinical hypothyroidism
Brief summary
To determine whether iron deficiency anemia can be an indication for the treatment of subclinical hypothyroidism.
Detailed description
51 Patients presented to our university outpatient internal medicine clinic who are found to have iron deficiency anemia coexisting with subclinical hypothyroidism have been included in this study. Patients were randomly assigned to oral iron or oral iron plus levothyroxin therapy. The physician and the patients did not know who received oral iron only or oral iron plus levothyroxine treatment. Hematologic parameters as well as serum iron, ferritin and iron binding capacity were being measured at the beginning and 3 months after treatment in both groups.
Interventions
Combination of ferrous sulfate tablet 325mg plus levothyroxine tablet 25 micrograms, po, TID
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis and laboratory confirmation of iron deficiency anemia and subclinical hypothyroidism * Must be able to swallow tablets
Exclusion criteria
* Multifactorial anemia or anemia due to other reasons * Iron deficiency anemia requiring urgent intervention- cardiac ischemia, severe anemia, GI or GU losses due to malignancy and or acute/subacute big loses by respiratory, Gİ, GU, etc. system * Prior thyroid disorder and/or treatment history * Presence of any other co-morbid disease like renal insufficiency/ failure, coronary heart disease, hypertension, diabetes mellitus, any endocrine system disease other than subclinical hypothyroidism
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Significant improvement in Hgb and RBC | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| Significant improvement in serum iron, ferritin, TIBC and possibly in serum TSH and free T4 levels. | 3 months |
Countries
Turkey (Türkiye)