A study of prevalence of anemia among hypothyroidism patients and relationship between types of anemia and hypothyroidism

Authors

  • Shailendra K. Bilonia Department of Medicine, Jhalawar Hospital and Medical College, Jhalawar, Rajasthan, India
  • Shivangi Pal Department of Medicine, Jhalawar Hospital and Medical College, Jhalawar, Rajasthan, India
  • Karan S. Charan Department of Medicine, Jhalawar Hospital and Medical College, Jhalawar, Rajasthan, India
  • Nikhil K. Nehra Department of Medicine, Jhalawar Hospital and Medical College, Jhalawar, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20223641

Keywords:

Anti-TPO, Hypothyroidism, Prevalence of anaemia, TSH

Abstract

Background: The association between anemia and hypothyroidism has been recognized, although the prevalence of anemia in hypothyroid patients varies widely between studies. The main objectives were to study the prevalence, type, etiology of anemia in primary hypothyroidism and to correlate severity of anemia with severity of hypothyroidism.

Methods: This research was conducted as a case-control study. Patients with newly diagnosed overt primary hypothyroidism and euthyroid controls totaling 170 in total were included in the study. The morphological subtypes of anemia and the causes of each were investigated. There was a correlation between the severity of anemia and that of hypothyroidism.

Results: Anemia was highly prevalent among cases, as it was present in 110 (64.7%) of patients with hypothyroidism and in 60 (35.3%) of patients who did not have hypothyroidism in the control group. In cases, 100 (58.8%) of serum samples tested positive for anti-TPO, while just 20 (11.8%) of control samples did so. In these cases, with elevated TSH, the anemia was severe.

Conclusions: Our study concluded that a statistically significant high anaemia prevalence was found among the patients with primary hypothyroidism. In comparison to the controls, it was shown that cases had a significantly higher incidence of certain types of, as well as anti-TPO positive and iron insufficiency. The TSH level and hemoglobin level were shown to have a statistically significant inverse association with one another.

Author Biographies

Shailendra K. Bilonia, Department of Medicine, Jhalawar Hospital and Medical College, Jhalawar, Rajasthan, India

POSTGRADUATE STUDENT, DEPARTMENT OF GENERAL MEDICINE

Shivangi Pal, Department of Medicine, Jhalawar Hospital and Medical College, Jhalawar, Rajasthan, India

POSTGRADUATE STUDENT, DEPARTMENT OF GENERAL MEDICINE

References

Crosby WH. Certain things physician do red cell indices. Arch Intern Med. 1979;139(1):23-4.

Carmel R. Macrocytosis, mild anemia, and delay in the diagnosis of pernicious anemia. Arch Intern Med. 1979;139(1):47-5.

De Benoist B, Cogswell M, Egli I, McLean E. Worldwide prevalence of anaemia 1993-2005; WHO global database of anaemia Geneva: World Health Organization; 2008:1-7.

Erdogan M, Kosenli A, Sencer G, Kulaksizoglu M. Characteristics of anemia in subclinical and overt hypothyroid patients. Endocr J. 2012;59:213-20.

Larson SO. Anemia and iron metabolism in hypothyroidism. Acta Med Scand. 1957;157:339- 63.

Mclean E, Benoist B, Allen LH. Review of the magnitude of folate and vitamin B12 deficiencies worldwide. Food Nutr Bull. 2008;29(2):38-51.

Benoist B, Mclean E, Egli I, Cogswell M. Global database on anemia. Geneva: WHO; 2008:7-21.

Das C, Sahana PK, Sengupta N, Giri D, Roy M. Etiology of anemia in primary hypothyroid subjects in a tertiary care center in Eastern India. Indian J Endocrinol Metab. 2012;16(2):361-3.

Hess SY, Zimmermann MB, Arnold M, Langhans W, Hurrell RF. Iron deficiency anemia reduces thyroid peroxidase activity in rats. J Nutr. 2002;132(7):1951-5.

Mehmet E, Aybike K, Ganidagli S, Mustafa K. Characteristics of anemia in subclinical and overt hypothyroid patients. Endocr J. 2012;59(3):213-20.

Dorgalaleh A, Mahmoodi M, Varmaghani B, Kia OS, Alizadeh S, Tabibian S, et al. Effect of thyroid dysfunctions on blood cell count and red blood cell indice. Iran J Pediatr Hematol Oncol. 2013;3(2):73.

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Published

2022-12-30

How to Cite

Bilonia, S. K., Pal, S., Charan, K. S., & Nehra, N. K. (2022). A study of prevalence of anemia among hypothyroidism patients and relationship between types of anemia and hypothyroidism. International Journal of Research in Medical Sciences, 11(1), 149–155. https://doi.org/10.18203/2320-6012.ijrms20223641

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Section

Original Research Articles