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Article
The roles of radiology and ESR in the diagnosis of tuberculosis in young military males in Iraq
التدرن لدى الشباب من العسكريين الذكور في العراق

Author: Hussein M. Jumaah حسين محمد جمعة
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2013 Volume: 39 Issue: 2 Pages: 182-185
Publisher: Mosul University جامعة الموصل

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Abstract

ABSTRACTObjective: To describe the radiological findings of active pulmonary tuberculosis (PTB) and /or tuberculous pleural effusion (TPE) in adult males, to determine the site and extent of lesions and test the significance of the erythrocyte sedimentation rate (ESR) in these patients.Patients and methods: A retrospective observational study of two hundred and sixty two military male patients with PTB and /or TPE with their age ranging from 25 to 40 years. Data were collected from the medical records at the Mosul General Hospital (which was a military hospital prior to 2003), during the period from July1995 to June 2002. Results: The radiologic lesions of PTB were most commonly seen in the upper zones, (74% P-value 0.0001). TPE was more commonly involving the right side (64%). ESR value was found to be elevated in most of the patients (84%).Conclusion: PTB was seen mostly in the upper zones, TPE has more predilections to the right side. The ESR is still a useful test in the diagnosis of tuberculosis.

الخلاصةالأهداف: لوصف العلامات الشعاعية للتدرن الرئوي الفعال وإنصباب الجنب التدرني عند الذكور البالغين، ولتحديد مدى وموقع هذه الآفات، وفحص أهمية قيمة نسبة ترسيب الكريات الحمراء لدى هولاء المرضى. الطرق: دراسة إسترجاعية ملاحظاتية، أجريت على 262 مريضا من الذكور المصابين بالتدرن الرئوي الفعال و/ أو إنصباب الجنب التدرني. تراوحت أعمارهم بين 25-40 سنة. جمعت المعلومات من الوثائق الطبية في مستشفى الموصل العام (والتي كانت تدعى مستشفى الموصل العسكري قبل 2003) وذلك للفترة بين تموز1995- حزيران 2002. النتائج: كانت الآفات الشعاعية للتدرن الرئوي أكثر شيوعاً في الأجزاء العليا من الرئتين (74% من الحالات)= P-value 0,0001. إنصباب الجنب أصاب الجانب الأيمن في 64% من الحالات، وكانت نسبة ترسيب الكريات مرتفعة في أكثر المرضى (84%).الإستنتاج: كانت أكثر حالات التدرن الرئوي تصيب الفصوص العليا من الرئتين. وإنصباب الجنب كان أكثر حدوثاً في الجانب الأيمن. وكانت نسبة ترسيب الكريات مفيدة في تشخيص التدرن الفعال وإنصباب الجنب التدرني .

Keywords

ESR --- tuberculosis


Article
Simultaneous influences of hematocrit in the erythrocyte medium on erythrocyte aggregation and sedimentation: a kinetic study by a laser scattering technique
ألتأثير الاني لتركيز كريات الدم الحمراء في معدل تجمع وترسب كريات الدم الحمراء باستخدام أشعة الليزر

Authors: R. Al-Khazragi رويدة عبد الأميرالخزرجي --- F. Al-Ani فاخر سلمان العاني
Journal: Baghdad Science Journal مجلة بغداد للعلوم ISSN: 20788665 24117986 Year: 2010 Volume: 7 Issue: عدد خاص بمؤتمر العلمي النسوي 1 Pages: 139-145
Publisher: Baghdad University جامعة بغداد

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Abstract

The erythrocyte aggregation is an important physiological phenomenon in the circulation of blood. It is a basic characteristic of normal blood that plays a major role in the cardiovascular system, especially in the microcirculation. This study explained the kinetics of single cells rouleaux formation one- dimensional aggregate and three- dimensional aggregate, during simultaneous, and the effect of hematocrit on the process of aggregation and sedimentation. The present study was done on forty one healthy subjects. Laser light is passed through a well mixed sample of blood and the forward scattered light intensities recorded continuously. The samples were prepared with different hematocrit, (10%, 15%, 20%, and 25%). Increasing the hematocrit, (10%, 15%, 20%, and 25%) had significantly decreased the rate of rouleaux formation (P< 0.005) but increase in the rate of one and three dimensional aggregate formation. On the other hand the sedimentation rate is decreased significantly (P<0.05) with the increase in the PCV value. It was shown that changing the hematocrit have different effects on aggregation process and sedimentation.

تجمع كريات الدم الحمراء ظاهرة فسيولوجية مهمة في الدورة الدموية .هذه الظاهرة تمثل الخصائص الاساسية للدم الطبيعي والتي تلعب دور مهم في الجهاز الوعائي القلبي, وخاصة في الاوعية الدموية الشعرية .أجريت هذه الدراسة على 41 شخص طبيعي, تفسر هذه الدراسة تأثير زيادة تركيز كريات الدم الحمراء على مراحل التجمع, تكون اللفة والتجمع بمتجه واحد وبثلاث متجهات, وترسب كذيات الدم الحمراء. طريقة اشعة الليزر النافذة استخدمت لهذه الدراسة. ويتم حساب شدة أشعة الليزڱ النافذة بشكل مستمر خلال عملية التجمع والترسب.زɊاثȩ تركيز كريات الدم Чلحمراء (10%, 15%, 20%, 25%) يقلل بشكل хلحوظ وذا قيمة احصائية مردل تكون اللفة ولكن يزيد معدل تكون التجمع بمتجه واحد وبثلاث متجهات. من ناحية اخرى زيادة تركيز كريات الدم الحمراء يسبب تقليل ملحوظ بترسيب كريات الدم الحمراء.بينت الدراسة ان زيادة تركيز كريات الدم الحمراء له تأثيرات مختلفة على مراحل التجمع و الترسب لهذه الكريات.


Article
Some haematological and biochemical indices study of visceral leishmaniasis in the Southern parts of Iraq

Author: Dawood S. Mehdi
Journal: Journal of Basrah Researches (Sciences) مجلة ابحاث البصرة ( العلميات) ISSN: 18172695 Year: 2005 Volume: 31 Issue: 1A Pages: 69-71
Publisher: Basrah University جامعة البصرة

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Abstract

A total of 114 confirmed cases of visceral leishmaniasis which is diagnosed by bone marrow aspiration at Basrah and Thi-Qar children hospitals were described, most of them are less than two years old. The majority of the patients suffered from leukopenia (97%) with increase in lymphocyte and monocyte numbers. Common biochemical features of the patients bloods show an increase in bilirubin. Liver enzymes (ALT and ATS) increasing in severity cases.

تم وصف 114 حالة طفل مصاب بالحمى السوداء DAT والمؤكد تشخيصهم بواسطة فحص نخاع العظم. وجد إن 97% من الأطفال ينخفض لديهم معدل عدد كريات الدم البيض مع وجود زيادة في المونوسايت والخلايا اللمفية مقارنة بالعينات الضابطة. لوحظ في النتائج أيضا زيادة في بعض المؤشرات الكيموحياتية كما في ارتفاع البليروبين، كما أظهرت الدراسة زيادة في بعض إنزيمات الكبد في بعض حالات الإصابة الشديدة.

Keywords

Leishmaniasis --- albumin --- ESR --- ALT --- ATS.


Article
دراسة بعض المؤشرات الدموية والكيموحيوية في الاطفال المصابين بالحمى السوداء في بغداد

Author: هناء كامل حمد
Journal: Al-Nahrain Journal of Science مجلة النهرين للعلوم ISSN: (print)26635453,(online)26635461 Year: 2014 Volume: 17 Issue: 2 Pages: 41-44
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

شملت الدراسة الحالية 82 طفل مصاب بداء الحمى السوداء المؤكد تشخيصهم بواسطة أختبار Dipstick(rK39)Immunochromatography Test- والمراجعين لمستشفى الطفل المركزي ومستشفى العلوية للاطفال في بغداد ابتداءاً من كانون الثاني 2012 ولغاية حزيران 2013 تراوحت اعمارهم من (4 أشهر- 6 سنوات) ومن كلا الجنسين، لوحظت اغلب الاصابات دون السنة الثانية من العمر والذين يعانون من نقص عدد كريات الدم البيضاء leucopenia وانخفاض في كميةخضاب الدم Hb))Hemoglobin مع زيادة في معدل ترسيب الدمErythrocyte Sedimentation rate (ESR)، كما أظهرت الدراسة زﻴﺎدة في تركيز Bilirubin وزﻴﺎدة ﻓﻲ إﻨزﻴﻤﺎت الكبد كأنزيم AspartateAminotransferaseAST)) وانزيم Alanine Aminotransferase(ALT) في ﺒﻌض ﺤﺎﻻت اﻹﺼﺎﺒﺔ الشديدة.

The current study included 82 children infected with Kala azar certainly diagnosed by Immunochromatography Test- Dipstick(rK39) and Auditors the hospital baby Central and AL-Alwiyah Children in Baghdad from(January2012 to June2013) ranged in age from (4 months - 6 years) and both sexes, observed most of the injuries less than two years old, and those who suffer from leucopenia and a reduction in the amount of hemoglobin(Hb)with the increase in (ESR) Erythrocyte sedimentation rate , the study also showed an increase in Bilirubin andan increase in liver enzymes, such as Aspartate Aminotransferas (AST), Alanine Aminotransferase (ALT) in some severe cases.


Article
Elevated Levels of IL- 6 in serum of SLE patients correlated with High- sensitivity CRP and ESR.
قياس مستويات المحرك الخلوي IL-6 في مصل المرضى المصابين بداء الذئب الاحمراري وعلاقته ب CRP,ESR

Author: Saad Shaheen Hammadi**, Munther Hussain*** ايمان طارق علي ,عواطف حميد محيسن*,سعد شاهين حمادي** ,منذر الحسين***
Journal: basrah journal of science البصرة للعلوم ISSN: 18140343 Year: 2014 Volume: 32 Issue: 2B micro conf Pages: 112-136
Publisher: Basrah University جامعة البصرة

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Abstract

Systemic Lupus erythematosus (SLE) is an autoimmune disease more prominent in women characterized by wide variety of auto antibodies production, some of which are pathogenic, immune complex deposition and various clinical systemic manifestation that effect various organ. The aim of this study is to investigate the correlation between IL-6, high sensitivity CRP, ESR and organ involvement in SLE patients and to assess if IL-6 could be related to disease activity and to organ involvement. Total of 50 patients with SLE(48female.2Male) and 30 healthy control were studied. SLE patients were divided into two groups 42 patients had active disease and 8 had inactive disease at p= 0.000. The mean level of IL-6 in SLE patients and healthy control groups was (541.1; 5.31 pg/ml) respectively, the difference was statistically significant at (p=0.000).There was positive correlation between serum IL-6 and SLEDAI (r= 0.422**, p= 0.002).Associations of IL-6 levels in patients with active and inactive disease in different organs were high significant at p= 0.000, The mean levels of IL-6 in patients with Lupus nephritis was (936.270pg/ml) the difference was higher significantly than other organs (p=0.000). The mean levels of hs CRP for SLE patients was (6.08 mg/l) and the difference was statistically significant (p= 0.000) than healthy control groups, There was strong positive correlation between IL-6 and hs CRP in serum of SLE patients (r= 0.969**, p= 0.000). But the difference was not significant between hs CRP and ESR (r= 0.249, p = 0.08), The mean levels of hs CRP in SLE patients was (8.844 mg/l) significantly higher in patients with lupus nephritis than other organs p= 0.000.

داء الذئب الاحمراري (SLE) هو أحد أمراض المناعة الذاتية أكثر وضوحا في النساء ويتميز بانتاج تشكيلة واسعة من الأجسام المضادة ، وترسيب المعقدات المناعيه ومختلف الاعراض جهازية السريرية التي تؤثر على اعضاء مختلفه من الجسم . هدف الدراسة هو البحث عن العلاقة بين كل من المحرك الخلوي IL-6-، ومعدل الترسيب( (ESR hs-CRPو وعلاقتهم بالاعضاء المشمولة في المرضى المصابين ، وتقييم ما إذا IL-6- يمكن أن يكون ذي علاقة بشدة المرض(SLEDAI) ومشاركة الأعضاء. وقد تناولت الدراسة 50 مريضا مصابا بداء الذئب الاحمراري( SLE )(48اناثا, 2 ذكورا)ا و 30من الاصحاء, حيث تم تقسيم هؤلاء المرضى إلى مجموعتين كان 42 مريضا ينتمون الى المجموعة الشديده(النشطه)و 8 مرضى الى المجموعة الساكنه( غير نشط )عند (P = )0.004. كان متوسط مستوى تركيزIL-6)) في مرضى داء الذئب و الاصحاء (541.19، 5.319 بيكوغرام / مل) على التوالي، وكانت الفروق ذات دلالة إحصائية عند (P = 0.000) عندما كان P <0.05. تحققت الدراسه من وجود علاقة إيجابية طرديه بين كل من المصل (IL-6) وSLEDAI (r = 0.422 **، P = 0.002) وكان مستوى متوسط (IL-6) في المرضى الذين يعانون من التهاب الكلية هو(936.27بيكوغرام / مل)حيث كان الفرق أعلى بكثير من الأجهزة الأخرى (P = 0.000).بينما كانت تراكيز مستويات البروتين التفاعلي ((hs-CRP لمرضى الذئبة الحمراء هي (6.0879 ملجم / لتر) وكان الفارق معنويا (P = 0.000) عن الاصحاء، حيث تحققت الدراسه من وجود ارتباطا طرديا قويا بين(IL-6) و hs-CRP في مصل الدم لمرض ىداء الذئبة (r = 0.969 **، P = 0.000). ولكن الفرق لم يكن كبيرا بين hs-CRP وESR (r = 0.249، P = 0.08)، حيث كان متوسط مستويات البروتين التفاعلي( CRP) لدى مرضى الذئبة الذين يعانون من التهاب الكلية هو (8.844 ملغم / لتر) أعلى بكثير في المرضى الذئبة من الأجهزة الأخرى P = 0.000

Keywords

SLE --- IL-6 --- hs CRP --- ESR.


Article
Determination of Immune Markers in Renal Disorders Throughout Biological Therapy of Rheumatoid Arthritis

Authors: Manal Azzet Aziz --- Abdul Kareem Shehab Diab --- Neama Yassir Habil
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2017 Volume: 14 Issue: 2 Pages: 280 -289
Publisher: Babylon University جامعة بابل

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Abstract

This study was conducted to investigate the serum level of C-reactive protein, erythrocyte sedimentation rate, creatinine, glomular filtration rate, tumor necrosis factor-α (TNF-α) and interlukin-6 (IL6) in rheumatoid arthritis patients associated with renal impairment treated with antiTNF-α. This study included "two groups; 54 patients with rheumatoid arthritis treated with Etanercept (Enbrel) 50mg and 58 patients with rheumatoid arthritis on treatment other than Anti TNF-α as a comparative"group. The results showed that renal function tests of rheumatoid arthritis patients who received Anti TNF-α were different, before and"after treatment. A "significant decrease in the value of creatinine and in the level of GFR after 6 months of treatment was observed"(P≤ 0.0001). The erythrocyte sedimentation rate, C-reactive protein, interlukin-6 and TNF-α increased in rheumatoid arthritis patients with renal disorders before biologic therapy compared with the comparison group who were on treatment other than Anti TNF-α. Following the administration of Anti TNF-α"therapy. These inflammatory parameters were significantly diminished in the rheumatoid arthritis patients after the therapy. The treatment with Anti TNF-α seems to be a factor in restoring the levels of the inflammatory immune markers.


Article
Erythrocyte sedimentation rate in patients with positive sputum for AFB and negative HIV serological test

Author: Ahmad Hasan Raheem
Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2016 Volume: 3 Issue: 1 Pages: 17-23
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

The goals of this study are detection of the prevalence of ESR elevation in patients whosuffering from pulmonary tuberculosis with positive sputum for acid fast bacilli and negative serological test for HIV, and showingthe effect of normal ESR ondiagnosis of active pulmonary tuberculosis. 37 patients of pulmonary TB with sputum positive for AFB and negative serological test for HIV, were involved in this retrospective study over145 days,at major TB center of Al-Hillacity, Iraq.The Westergren method used for detection of ESR for all patients. Of the total 37 patients involved in this study 21(57%) were males and 16(43%) were females. The ages of the male patients ranged from 21-82 years, and the females from 23-75 years in addition to one girl with age of 5-year. 22(59.5%) patients cigarette smoker and 15(40.5%) non smoker. 3 patients (8.1%) with ESR less than 20mm/hr, 13 patients (35.1%) with ESR 20-40mm/hr,12 patients (32.4%) with ESR 41-60mm/hr and 9 patients (24.3%) more than 60 mm/hr. According to dependent normal range in this study 7(19 %) patientswith normal ESR. 19% of patients involved in this study have normal ESR, so the pulmonary TB should be expected in any patient with suggestive clinical features even when the ESR is normal specially in an endemic area as in Iraq, and it is clear from result above that the smoking is important risk factor for pulmonary TB.

Keywords

ESR --- Tuberculosis --- Acid Fast Bacilli --- Sputum --- HIV


Article
The influence of Packed Cells Volume (PCV) and Temperature on Erythrocytes Sedimentation Rate (ESR)
تأثير حجم كريات الدم المضغوطة و درجة الحرارة في معدل ترسيب كريات الدم الحمر

Author: Suha Adel Qasim سها عادل قاسم
Journal: Baghdad Science Journal مجلة بغداد للعلوم ISSN: 20788665 24117986 Year: 2011 Volume: 8 Issue: 1 Pages: 118-122
Publisher: Baghdad University جامعة بغداد

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Abstract

Erythrocytes aggregation is an important physiological phenomenon in the circulation of blood, and is a basic characteristic of normal blood that plays a major role in cardiovascular system especially in the microcirculation.Blood samples have been taken from (30) volunteers (15 male, and 15 female), their ages (20-30) years. The Erythrocytes Sedimentation Rate (ESR) for those subjects was measured at different Packed Cells Volume (PCV) (10%-25%), and also it was measured at different temperature (10oC-25oC).The results show that there was a highly significant decrease (P<0.01) in ESR when the PCV increase and a highly significant increase (P<0.01) in ESR when the temperatures increase.The conclusion from these results is that the ESR values were affected by each of PCV and temperature of the samples.

تجمع كريات الدم الحمر هي ظاهرة فيزيولوجية في الدورة الدموية وهي خاصية أساسية في الدم الطبيعي تؤدي دوراً كبيراً في الدورة الدموية وخاصة في الأوعية الدموية الشعرية.تم أخذ عينة دم من (30) شخصاً (15 ذكراً و 15 انثى) وبأعمار (20-30) سنة، أذ تم حساب معدل ترسيب كريات الدم الحمر لمختلف قيم حجوم الكريات المضغوطة (10%-25%)، وكذلك تم حساب معدل ترسيب كريات الدم الحمر في مختلف درجات الحرارة (10مo-25مo).أظهرت النتائج أن هناك نقصاناً ملحوظاً ذا معنوية عالية (P<0.01) في معدل ترسيب كريات الدم الحمر عند زيادة حجوم الكريات المضغوطة وكذلك أظهرت النتائج أن هناك زيادة ملحوظة ذات معنوية عالية (P<0.01) في معدل ترسيب كريات الدم الحمر عند زيادة درجة الحرارة.نستنتج من ذلك أن معدل ترسيب كريات الدم الحمر يتغير بتغير كل من حجوم الكريات المضغوطة و درجة حرارة العينات.


Article
Relation of Immuno-Inflammatory Markers (IL-6, Crpand ESR Value) With Prediction of Ischemic Heart Disease

Authors: Mahdi Haider Al-Najy --- Ikbal Khider Al-Joofy
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 4 Pages: 318-322
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACK GROUND:Ischemic heart diseases (I.H.D) become more common during 21st century as the dominant chronic diseases in many parts of the world, and it is predicted to be become the main causes of disability and death world wide. Many factors play a role in pathogenesis of I.H.D among those could be immuno-inflammatory markers which may lead to development of this disease.OBJECTIVE:The present study was conducted to obtain more clarification about the impact of some immuno-inflammatory markers (IL-6, CRPand ESR value) on the clinical expression of heart disease among Iraqi patients.METHODS:Hundred Iraqi patients with I.H.D (80 male and 20 female) ages ranged from 20 to 80 year were involved in this study, including 4 subgroups: 17 with heart failure (H.F). ; 26 with myocardial infraction (M.I); 12 with stable angina (S.A) and 45 with unstable angina (U.A) who was attending the Iraqi center for heart disease and Baghdad hospital from December 2006 to march 2007. Using enzyme amplified sensitivity immuno assay (EASIA) technique to measure the level of IL-6, and enzyme linked immunosorbant assay (ELISA) technique to measure the levels of CRP, in addition to westergren method to determine ESR were done for both patients groups and healthy control group.RESULTS:Significant increased (p<0.05) in the serum level of IL-6 in all patients subgroups: MI, HF, UA, and SA. Respectively compared with control group, also all patients subgroups: SA, HF, MI, UA, consequently revealed significant increased (p<0.05) in the mean of CRP concentration compared with control group. Moreover, highly significant elevated (p<0.01) in the erythrocyte sedimentation rate (ESR) value in the patients subgroups: SA, UA, MI, HF respectively compared with control group.CONCLUSION:Elevated levels of inflammatory markers, particularly CRP and IL-6 are a relatively strongly predictor of I.H.D and in one way or another ESR value and CRP level reflect the degree of the inflammatory status of these diseases.

Keywords

ischemic heart diseases --- inflammation --- IL-6 --- CRP --- ESR.


Article
The Value of Serum Ferritin in the Prediction of Iron Deficiency in Patients with Lymphoid Neoplasms

Authors: Ahmed I. Shuk --- Yassmin .Ali abdul-kareem AL-Amiri --- Yassmin .Ali abdul-kareem AL-Amiri Mahmood R. Al-Rubaye --- Zakaa N. Al-Nidawy --- et al.
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2013 Volume: 6 Issue: 2 Pages: 1668-1674
Publisher: Kerbala University جامعة كربلاء

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Abstract

background:- anemia is a well-known complication of patients with lymphoidneoplasm and many factors are involved in its pathogenesis including defective ironutilization and diagnosing iron deficiency in the context of malignancy or chronicillness can be very challenging as many of the parameters used are acute phase markers andcan be misinterpreted in the presence of chronic illness .bone marrow iron is the goldstandard mean for assessing marrow iron but it is an invasive and a laborious procedure ,onthe other hand serum ferritin has been used as the most relevant indicator of iron deficiencyin the general population but it has the drawback of being increased in the presence of anacute response.Objectives:- evaluate the ability of serum ferritin at different cutoff levels and incombination with other parameters to identify iron deficiency in patients with lymphoidneoplasms.Patients and methods:- 39 anemic patients with different types of lymphoid neoplasmattending the hematology unit in Baghdad hospital were enrolled in the study ,exclusioncriteria included history of blood transfusion and iron therapy in the past 2 months .for allpatients bone marrow iron study was carried out and accordingly patients were classified into2 groups the iron depleted group (with absent marrow iron) and the iron replete group (withpresent iron stores).from all patients peripheral blood was taken for the evaluation ofcomplete blood picture and ESR and serum ferritin by enzyme Linked immunosorbant assaymethod (ELISA).Results:- the mean serum ferritin for the iron depleted group was 78.31ng/dl while for theiron replete group it was 202.77ng/dl there was a highly significant difference for serumferittin between the 2 groups (p value .005),a less significant difference was found also forthe mean cell volume(p value .05) while the other parameters showed no difference, thelowest cutoff level for serum ferittin that could accurately identify iron deficiency with a highsensitivity 96% and a high specifity 80% was 66.7ng/dl . Logistic regression analysis wasdone for serum ferritin and ESR to test for the effect of these parameters on the predictivepower of bone marrow iron stores. The logistic equation was:Log (p)=0.163 + .0621*ESR -0.026*ferritinUsing this equation with ferritin and ESR gave a prediction power of about 74% to identifythe iron bone marrow store however using ferittin alone gave a 69% prediction power.Conclusion: - serum ferritin at a cutoff value of 66.7ng/dl can be used with high accuracy forthe identification of iron deficiency in patients with lymphoid neoplasm and can be used as asuitable alternative for bone marrow iron, correction of serum ferritin for the acute phaseresponse did not enhance much its predictive power in identifying iron deficiency in thosepatients.

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