Title: Prevalence of Peripheral Neuropathy among Anaemic Patients

Authors: Harisudan S, Prasanna K B, Sharavanan T K

 DOI: https://dx.doi.org/10.18535/jmscr/v7i9.40

Abstract

    

Introduction: Anaemia is a common disorder among Indian population. Peripheral neuropathy though more common among diabetics is also found to be relatively more common among anaemic patients. Nutritional anaemia and anaemia due to chronic diseases are more commonly associated with peripheral neuropathy.

Materials and Methods: This study was conducted among the outpatients and inpatients in Tagore Medical College, Rathinamangalam between December 2017 – December 2018. Patients have their history taken according to a questionnaire and subjected to clinical examination. A questionnaire was used to assess peripheral neuropathy.

Results: This study involved 50 patients with anaemia presenting with peripheral neuropathic symptoms. All Patients having chronic kidney disease had peripheral neuropathic symptoms involving all 4 limbs. anaemic patients due to other causes predominantly had neuropathic symptoms involving both the lower limbs. Among these population 30 patients (60%) had haemoglobin less than 7g/dl. 15 among them had haemoglobin less than 5g/dl. 20 patients had haemoglobin greater than 7g/dl.

Conclusion: The above study shows a strong correlation among anaemic patients and development of peripheral neuropathy. Patients with iron deficiency had greater risk of developing neuropathic symptoms more involving the lower limbs. Chronic kidney disease patients however had involvement of all four limbs. Large study populations are required to substantiate these findings in near future.

Keywords: Macrocytic Anaemia, Peripheral neuropathy, Iron Deficiency Anaemia.

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Corresponding Author

Dr K. B. Prasanna

Associate Professor of Medicine, Tagore Medical College and Hospital, Rathinamangalam, Chennai -600127, India