A cross-sectional observational study assessing the clinical profile of patients with iron deficiency anaemia

Nauka S. Shah, Jaya M. Pathak, Purva C. Shah


Background: Our objective in this research was to study the clinical profile of patients having iron deficiency anaemia.

Methods: This was an observational cross sectional study conducted in Medicine out-patient and in-patient departments of Baroda Medical College and SSG Hospital, Vadodara from February, 2018 to November, 2018 and included all patients (N=50) above eighteen years of age who were diagnosed on admission with microcytic hypochromic or normocytic normochromic anaemia. Following detailed history, general examination and basic haematological investigations like complete blood count, haemoglobin, mean corpuscular volume, etc., statistical analysis of the data was performed.

Results: In the present study, it was found that maximum number of patients belonged to a younger age group (mean=36.82 years) with a majority being females (74%). Most common presenting complaint was weakness seen in 96% cases while the commonest clinical finding was pallor present in 100% cases followed by koilonychia in 32%. The most common cause of iron deficiency anaemia was nutritional seen in 60% patients.

Conclusions: Generalised weakness, breathlessness, and pedal edema were the commonest presenting complaints in our study while pallor, koilonychia, and pedal edema were the most common clinical findings. Maximum number of patients had IDA due to a nutritional cause. Chronic gastrointestinal bleeding, inflammatory bowel disease, and menorrhagia are other causes of IDA. Amongst addicted, alcohol addiction seen in most cases.


Diagnosis, Iron deficiency anaemia, Reticulocyte haemoglobin content

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NIH. Anemia, 2016 Available at: Accessed on 25 April 2016.

Stedman's medical Dictionary. Philadelphia: Lippincott Williams & Wilkins, (28th ed.), 2006.

Rodak BF. Hematology: clinical principles and applications (3rd ed.). Philadelphia: Saunders, 2007:220.

Mehta S, Goyal LK, Kaushik D, Gulati S, Sharma N, et al. Reticulocyte haemoglobin vis-à-vis serum ferritin as a marker of bone marrow iron store in iron deficiency anemia. J Association Physicians India. 2016;64(11):38-42.

Johnson-Wimbley TD, Graham DY. Diagnosis and management of iron deficiency anemia in the 21st century. Therapeutic Advan Gastroenterol. SAGE Publications. 2011; 4(3):177-184.

Government of India. Ministry of Health and Family Welfare. National Family Health Survey (NFHS-4) 2015-16, 2017. Available at: Accessed on 21 September 2019.

Rammohan A, Awofeso N, Robitaille MC. Addressing female iron-deficiency anaemia in india: is vegetarianism the major obstacle?. ISRN Public Health. 2012;2012.

World Health Organization. Worldwide prevalence of anaemia 1993–2005. Geneva: World Health Organization, 2008. Available at: Accessed on 25 March 2009.

Torino A, Gilberti M, da Costa E, de Lima G, Grotto H. Evaluation of erythrocyte and reticulocyte parameters as indicative of iron deficiency in patients with anemia of chronic disease. Revista Brasileira de Hematologia e Hemoterapia. 2015;37(2):77-81.

Shah SZ, Baloch GH, Yousfani ZA, Abbas SA, Baloch ZA, Bukhari S, et al. Clinical profile of patients with iron deficiency anemia at tertiary care teaching hospital. Indo Ame J Pharma Sci. 2017;4(02):373-377.

Nareddy V, Varun M, M.V. N. Incidence of iron deficiency anaemia and it’s early detection in patients with hypoproliferative anaemia presentation in a tertiary care hospital. Intern J Advan Med. 2018;5(4):828.

Chandurkar M, Pendalya S. Clinical profile of patients presenting with anemia in a tertiary care rural hospital of western Maharashtra. Intern J Clin Biomed Res. 2017;3:74-77.

Joshi R, Shrestha D, Shah D, Khadka S. Iron Deficiency Anemia: A profile of a tertiary care hospital. J Advan Internal Med. 2018;7(1):1-5.