THE COEXISTENCE OF HEMOGLOBIN AND SERUM IRON LEVELS: ARE THEY ALWAYS SYNCHRONIZED
Khaled Alhomsi*
ABSTRACT
Objective: This study aimed to show the correlation between hemoglobin levels (Hb) and serum iron levels (Fe) and whether low serum iron levels are always associated with low hemoglobin levels and vice versa. Materials and Methods: This study was a retrospective study of 859 women between 18-45 years old. Hemoglobin levels and Serum iron levels of these women were obtained. This study was performed on 859 women who reviewed Alhomsi Clinical Laboratories between August 2018 to September 2019. Statistical analysis was done using SPSS 25.0 Results: 210 patients (24%) had Hb level of 6.5-10 g/dl with Fe level of 8-25 μg/dL (Moderate Iron Deficiency Anemia), 228 (26%) had Hb level of 10-12 g/dl with Fe level of 25-40 μg/dL (Mild Iron Deficiency Anemia). 430 (50%) had Hb level of 12-15.5g/dl with 236 of them having Fe level of 40-125 μg/dL (Normal Cases- Normal Hb levels with normal Fe levels). However, the remaining 194 cases (of the 430 whom Hb was normal:12-15.5 g/dl) had Fe level of 28.2-42 μg/dL, which is defined as iron deficiency. This is quite an abnormal finding that in our opinion could be attributed to many reasons especially, the increased ration of smoking in women by either cigarettes or waterpipe (hookah). Conclusion: Iron deficiency anemia is a very common issue worldwide and is not the main point of this article, however, normal hemoglobin levels with low serum iron levels raises many questions about concomitant factors that could lead to this surprising finding.
Keywords: Anemia, Iron Deficiency, Hemoglobin, Syrian women, Reproductive age.
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