Impact of Thalassemia Major on Micronutrient Homeostasis A Focus on Calcium and Interleukin-1β in Iraqi Children
Thalassemia is a chronic congenital disease that affects hemoglobin synthesis and causes anemia, bone marrow expansion, and iron overload. These factors can impair the metabolism of calcium, vitamin D, and vitamin B12, leading to bone disease and other complications. The aim of this study was to evaluate the levels of calcium, vitamin D, and vitamin B12 in Iraqi pediatric patients with thalassemia. Methodology: A case - control study was conducted on 60 children with thalassemia and 30 healthy controls, aged 2 to 10 years. Serum levels of calcium, vitamin D, and vitamin B12 were measured by spectrophotometry and ELISA measurement technique. Results: Thalassemia patients had much lower average concentrations of calcium, vitamin D, and vitamin B12 than healthy people, as well as lower iron levels. On the other hand, their ferritin levels were higher than those of the control group. Conclusion: Iraqi pediatric patients with thalassemia have high prevalence of calcium, vitamin D, and vitamin B12 deficiencies, which are associated with reduced BMD and increased risk of osteoporosis. Routine screening and supplementation of these micronutrients are recommended to prevent and treat bone disease in this population of Africa. The findings of this study could provide valuable insights into the pathophysiology of Thalassemia and its effects on essential nutrient levels in pediatric patients