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Journal of Tropical Pediatrics 1992 38(2):64-67; doi:10.1093/tropej/38.2.64
© 1992 by Oxford University Press
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Salivary Iron Status in Children with Iron Deficiency and Iron overload

O. P. Mishra, MD, K. N. Agarwal, MD, DCH and R. M. D. Agarwal, MD

Nutrition Section, Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University Varanasi—221 005, India

Correspondence: Dr O. P. Mishra, 6, Rashminagar Colony, P.O. B.H.U. Varanasi – 221 005, India

Forty anaemic (iron deficiency anaemia-27, thalassemia major-8, and aplastic anaemia-5) and '10 non-anaemic children (serving as controls) aged from 8 months to 10 years were selected for the study. The salivary iron was significantly higher in iron deficient and iron overload conditions compared to controls. The mean salivary: serum iron ratio was same in control and iron overload cases, while it was twice as high in iron deficient anaemic children. The correlation between salivary iron and serum iron was significant (r = 0.7392, P<0.001) in these cases. The iron deficient anaemic children with hypoalbuminaemia had significantly reduced serum and salivary protein (P<0.001), but iron concentrations in serum and saliva remained unaltered. The salivary protein level had significant correlations with serum albumin and serum protein (P<0.001). Thus, the iron in saliva is maintained at a higher level and more so in iron deficiency anaemia; it correlates well with serum iron (r = 0.6853, P<0.001) in iron deficient anaemic children also and is not affected by co-existing hypoproteinaemic situation.


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