Özet:

Objective Iron deficiency anemia (IDA) is one of the most common diseases in our country and effecting lives of millions of people all over the world. There are multifold reasons for its etiology. This is a retrospective cross-sectional study to address the prevalence and etiology of IDA among patients in the SDU Research Hospital, Isparta, Turkey. Materials and Methods A total of 1000 patients ages between 18-65 who were admitted to the Outpatient Clinic of Department of Internal Medicine, SDU School of Medicine, between April 2017 and November 2017. Complete blood count including ferritin, vitamin B12 and level of folic acid values were determined. Gender, age, menopausal status, additional diseases and etiologic factors of the patients were recorded. Hemoglobin, hematocrit, MCV, RDW, leukocyte, platelet, ferritin, vitamin B12 and folic acid levels were also documented. Hemoglobin levels were calculated as below 12 g/dl and 13 g/dl in females and males, respectively. Ferritin less than 15 ng/ml (patients with rheumatic diseases less than 100 ng / ml) were accepted as IDA.To examine the etiologic factors in patients with IDA; dietary iron intake, menstrual bleeding in women, hemorrhoid, peptic ulcer, gastric surgery, gastritis, malignancy were investigated. Additional diseases identified at admission were chronic liver/kidney/lung/rheumatoid/ endocrinological, hypertension, diabetes mellitus, malignancies, hemoglobinopathies and inflammatory bowel disease. Results In our study, 25 % of the women and 7,4 % of men had IDA, and we found that the prevalence of IDA was 20,3 % in all patients. The most common cause of IDA was menorrhagia in women and gastritis in men. However, we could not fully assess the etiologic factor in 55 % of men and 34,4 % of women with IDA. Discussion Prospective, community based studies that also evaluate pika and parasitosis should be performed in patients with iron deficiency anemia.

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