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      KCI등재

      Clinical Characteristics and E cacy of Iron Treatment for Restless Legs Syndrome Patients with Very Low Ferritin Levels

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      https://www.riss.kr/link?id=A105981756

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      다국어 초록 (Multilingual Abstract)

      Restless legs syndrome (RLS) is associated with dopaminergic dysfunction, and iron de ciency, manifesting as low ferritin. However, ferritin levels do not correlate well with demographic data. Based on the hypothesis that very low ferritin can accurat...

      Restless legs syndrome (RLS) is associated with dopaminergic dysfunction, and iron de ciency, manifesting as low ferritin. However, ferritin levels do not correlate well with demographic data. Based on the hypothesis that very low ferritin can accurately re ect clinical information, we herein described characteristics and treatment e cacy of RLS patients with ferritin levels under 15 ng/mL. We retrospectively reviewed 196 patients and collected clinical data. Twenty-one patients had ferritin levels under 15 ng/mL and were compared with those having ferritin levels over 15 ng/mL. e pa- tients with very low ferritin levels were predominantly female, had earlier onset of symptoms, and showed a superior response to iron therapy. In conclusion, RLS patients with ferritin levels under 15 ng/mL showed distinct demographic features and treatment e cacy. Further studies on more patients with long-term follow-up are warranted to support this observation.

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      참고문헌 (Reference)

      1 Allen RP, "Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health" 4 : 101-119, 2003

      2 Allen RP, "Restless legs syndrome/Willis-Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria--history, rationale, description, and significance" 15 : 860-873, 2014

      3 Connor JR, "Profile of altered brain iron acquisition in restless legs syndrome" 134 (134): 959-968, 2011

      4 Allen RP, "Prevalence and disease burden of primary restless legs syndrome : results of a general population survey in the United States" 26 : 114-120, 2011

      5 Winkelman JW, "Practice guideline summary: treatment of restless legs syndrome in adults: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology" 87 : 2585-2593, 2016

      6 Connor JR, "Neuropathological examination suggests impaired brain iron acquisition in restless legs syndrome" 61 : 304-309, 2003

      7 Earley CJ, "MRI-determined regional brain iron concentrations in early-and late-onset restless legs syndrome" 7 : 458-461, 2006

      8 O’Keeffe ST, "Iron status and restless legs syndrome in the elderly" 23 : 200-203, 1994

      9 Lopez A, "Iron deficiency anaemia" 387 : 907-916, 2016

      10 Sun ER, "Iron and the restless legs syndrome" 21 : 371-377, 1998

      1 Allen RP, "Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health" 4 : 101-119, 2003

      2 Allen RP, "Restless legs syndrome/Willis-Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria--history, rationale, description, and significance" 15 : 860-873, 2014

      3 Connor JR, "Profile of altered brain iron acquisition in restless legs syndrome" 134 (134): 959-968, 2011

      4 Allen RP, "Prevalence and disease burden of primary restless legs syndrome : results of a general population survey in the United States" 26 : 114-120, 2011

      5 Winkelman JW, "Practice guideline summary: treatment of restless legs syndrome in adults: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology" 87 : 2585-2593, 2016

      6 Connor JR, "Neuropathological examination suggests impaired brain iron acquisition in restless legs syndrome" 61 : 304-309, 2003

      7 Earley CJ, "MRI-determined regional brain iron concentrations in early-and late-onset restless legs syndrome" 7 : 458-461, 2006

      8 O’Keeffe ST, "Iron status and restless legs syndrome in the elderly" 23 : 200-203, 1994

      9 Lopez A, "Iron deficiency anaemia" 387 : 907-916, 2016

      10 Sun ER, "Iron and the restless legs syndrome" 21 : 371-377, 1998

      11 Earley CJ, "Ferritin levels in the cerebrospinal fluid and restless legs syndrome : effects of different clinical phenotypes" 28 : 1069-1075, 2005

      12 Allen RP, "Evidence-based and consensus clinical practice guidelines for the iron treatment of restless legs syndrome/Willis-Ekbom disease in adults and children : an IRLSSG task force report" 41 : 27-44, 2018

      13 Ohayon MM, "Epidemiology of restless legs syndrome: a synthesis of the literature" 16 : 283-295, 2012

      14 Cho YW, "Clinical efficacy of ferric carboxymaltose treatment in patients with restless legs syndrome" 25 : 16-23, 2016

      15 Allen RP, "Clinical efficacy and safety of IV ferric carboxymaltose (FCM) treatment of RLS: a multi-centred, placebo-controlled preliminary clinical trial" 12 : 906-913, 2011

      16 Trenkwalder C, "Augmentation in restless legs syndrome is associated with low ferritin" 9 : 572-574, 2008

      17 Li J, "Association of low ferritin with PLM in the Wisconsin Sleep Cohort" 16 : 1413-1418, 2015

      18 Zacharski LR, "Association of age, sex, and race with body iron stores in adults: analysis of NHANES III data" 140 : 98-104, 2000

      19 Earley CJ, "Altered brain iron homeostasis and dopaminergic function in Restless Legs Syndrome(Willis-Ekbom Disease)" 15 : 1288-1301, 2014

      20 Earley CJ, "Abnormalities in CSF concentrations of ferritin and transferrin in restless legs syndrome" 54 : 1698-1700, 2000

      21 Simpson IA, "A novel model for brain iron uptake : introducing the concept of regulation" 35 : 48-57, 2015

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