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Of ferritin only and iron studies tests that were performed nationally and for your practice population over the lastįigure 1. Figure 1 below shows the breakdown of anaemia testing as a percentage Proportion of these that are ferritin only tests has increased from 53% in 2010 to 68% of tests in 2013.

Although the total number of tests to investigate anaemia have risen in New Zealand over the last four years, the.

Testing for iron deficiency anaemia – Encouraging results! If serumįerritin is increased (iron deficiency is unlikely with ferritin levels over 100 micrograms/L), iron studies may be requested

Iron studies may be indicated if iron overload is suspected, or other comorbidities are known or suspected.

(serum iron, iron binding capacity and serum transferrin) should not be ordered as initial first-line tests.

Serum ferritin alone is a highly sensitive test of iron deficiency in patients with otherwise good health.

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Patients with uncomplicated iron deficiency can be given a trial treatment with oral iron supplementation to correctĪnaemia and replenish physiological storesįerritin should be used to investigate suspected iron deficiency anaemia 3.

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Review and correct any dietary factors patients diagnosed with coeliac disease should begin a gluten free diet.If appropriate, prevent further blood loss by treating the underlying cause, e.g.Gastric erosions/ulcerations and those that interfere with coagulation/platelet function, dietary deficiency (e.g. menorrhagia or pregnancy), gastrointestinal bleeding, malabsorption (e.g. The cause of iron deficiency anaemia always needs to be investigated, some of the primary causes are: obstetric/gynaecological.The most frequent cause of microcytic anaemia in New Zealand is iron deficiency.Microcytic anaemia is defined as a mean cell volume

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In this article View / Download pdf version of this article Practical tips and information for investigating iron deficiency anaemia 1,2

Testing for iron deficiency anaemia – Encouraging results!.Ferritin should be used to investigate suspected iron deficiency anaemia.Practical tips and information for investigating iron deficiency anaemia.