Introducing a new histologic scoring system for iron deposition in liver of thalassemic patients, compared with atomic absorption spectrometry.
Iron deposition in liver is a major finding in thalassemic patients and because of direct iron toxicity to liver it is associated with several consequences for example liver fibrosis. Liver biopsies from 63 patients were evaluated, 40 (63.5%) were male and 20 (36.5%) were female. The mean age of the patients was 8.01 ± 3.7 and the age range was from 1.8 to 15 years. Histologic grading and staging was performed for each case according to modified HAI (Hepatitis Activity Index) system. Iron scoring was performed according to Sindram & Marx and MTK1-3 scoring systems. The mean (SD) dry weight (dw) of liver specimens was 1.34 (0.11) mg (range 0.20 to 3.80 mg). The mean (SD) of hepatic iron concentration was 230.9 (121.2)μmol/g dry weight. The relationship between the variables HIC, HII (hepatic iron index) and all histological gradings of iron (S&M and MTK1-3) was very strong. The relationship between the HIC and staging by HAI method was good. Significant differences were identified between the mean HIC in scores 1&2 of all histological iron scorings (S&M and MTK1-3), but no significant differences identified between mean HIC in other adjacent scores in all histological iron scorings (S&M and MTK1, 2 and 3). New scoring system introduced by us in this study which considered size and density of iron granules as well as zone of iron deposition was very much the same as simple Sindram and Marx classification.
Medical Sciences Faculty, Tehran University, Tehran, Iran.
Habib
H
Tavassoli
Medical Sciences Faculty, Tehran University, Tehran, Iran.
Fatemeh
F
Mahjoub
Medical Sciences Faculty, Tehran University, Tehran, Iran.
Eesa
E
Jahanzad
Medical Sciences Faculty, Tehran University, Tehran, Iran.
Fatemeh
F
Farahmand
Medical Sciences Faculty, Tehran University, Tehran, Iran.
Mina
M
Izadyar
Medical Sciences Faculty, Tehran University, Tehran, Iran.
Mehri Najafi
MN
Sani
Medical Sciences Faculty, Tehran University, Tehran, Iran.
Mohammad Lamei
ML
Rashti
Department of Fisheries, Faculty of Natural Sciences, Urmia University, Urmia, Iran. Electronic address: msaramli@gmail.com.
Mohammad Sadegh
MS
Aramli
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007501:Iron / Q000378:metabolism*; D008099:Liver / Q000378:metabolism / Q000473:pathology*; D008297:Male; D012720:Severity of Illness Index; D013054:Spectrophotometry, Atomic; D013789:Thalassemia / Q000175:diagnosis* / Q000473:pathology
D007501:Iron
Histologic grading; Iron deposition; Liver; Talassemia