作者: Gary M. Brittenham , Patricia M. Griffith , Arthur W. Nienhuis , Christine E. McLaren , Neal S. Young
DOI: 10.1056/NEJM199409013310902
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摘要: Background To determine whether deferoxamine prevents the complications of transfusional iron overload in thalassemia major, we evaluated 59 patients (30 were female and 29 male; age range, 7 to 31 years) periodically for 4 10 years or until death. Methods At each follow-up visit, performed a detailed clinical laboratory evaluation measured hepatic stores with noninvasive magnetic device. Results The body burden as assessed by measurement was closely correlated (R = 0.89, P<0.001) ratio cumulative load use (expressed millimoles per kilogram weight, relation grams kilogram, transformed into natural logarithm). Each increase one unit logarithm (transfusional use) associated an increased risk impaired glucose tolerance (relative risk, 19.3; 95 percent confidence interval, 4.8 to...