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  1. Article ; Online: Coagulation Abnormalities Due to COVID-19 in a Child with Thalassemia: Authors' Reply.

    Marhaeni, Wulandewi / Wijaya, Andreas Budi

    Indian journal of pediatrics

    2021  Volume 88, Issue 7, Page(s) 737

    MeSH term(s) COVID-19 ; Child ; Family ; Humans ; SARS-CoV-2 ; Thalassemia/complications
    Language English
    Publishing date 2021-06-07
    Publishing country India
    Document type Letter ; Comment
    ZDB-ID 218231-2
    ISSN 0973-7693 ; 0019-5456
    ISSN (online) 0973-7693
    ISSN 0019-5456
    DOI 10.1007/s12098-021-03816-3
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  2. Article ; Online: Coagulation Abnormalities Due to COVID-19 in a Child with Thalassemia.

    Marhaeni, Wulandewi / Wijaya, Andreas Budi / Khairiyadi / Munawaroh / Hendriyono

    Indian journal of pediatrics

    2021  Volume 88, Issue 4, Page(s) 396–397

    MeSH term(s) Adolescent ; COVID-19/complications ; Child ; Female ; Humans ; Male ; Thalassemia/complications ; Thalassemia/diagnosis
    Language English
    Publishing date 2021-01-08
    Publishing country India
    Document type Case Reports ; Letter
    ZDB-ID 218231-2
    ISSN 0973-7693 ; 0019-5456
    ISSN (online) 0973-7693
    ISSN 0019-5456
    DOI 10.1007/s12098-020-03600-9
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  3. Article: Comparing serum ferritin levels during COVID-19 infection and recovery period in pediatric patients with transfusion-dependent thalassemia, a single-center study.

    Marhaeni, Wulandewi / Felicia, Fabiola Vania / Sumadi Jap, Arvin Leonard / Hartoyo, Edi / Andayani, Pudji

    Frontiers in medicine

    2023  Volume 10, Page(s) 1056599

    Abstract: Background: Ferritin has been recognized as a predictor of severity among Coronavirus-19 disease (COVID-19) patients. Studies have shown higher levels of ferritin in patients with COVID-19 than in healthy children. Patients with transfusion-dependent ... ...

    Abstract Background: Ferritin has been recognized as a predictor of severity among Coronavirus-19 disease (COVID-19) patients. Studies have shown higher levels of ferritin in patients with COVID-19 than in healthy children. Patients with transfusion-dependent thalassemia (TDT) basically have high ferritin level due to iron overload. It is uncertain whether serum ferritin level in these patients is associated with COVID-19 infection.
    Objective: To evaluate ferritin levels in TDT with COVID-19 before, during, and after the course of infection.
    Methods: This retrospective study enrolled all TDT children with COVID-19 infection that were hospitalized in Ulin General Hospital Banjarmasin during the COVID-19 pandemic (March 2020 to June 2022). Data were collected from medical records.
    Results: There were 14 patients included in this study, 5 patients had mild symptoms and 9 patients were asymptomatic. The mean of hemoglobin level upon admission was 8.1 ± 3 g/dL and serum ferritin level were 5148.5 ± 2651.8 ng/mL. The average serum ferritin level during COVID-19 infection was 2373.2 ng/mL higher than before infection and then decreased by 952.4 ng/mL after infection. We found no association of increasing serum ferritin with patients' symptoms (
    Conclusion: Serum ferritin levels in TDT children may not reflect disease severity or predict poor outcomes during COVID-19 infection. However, the presence of other co-morbid conditions/confounders warrants cautious interpretation.
    Language English
    Publishing date 2023-02-09
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2023.1056599
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  4. Article ; Online: Comparing serum ferritin levels during COVID-19 infection and recovery period in pediatric patients with transfusion-dependent thalassemia, a single-center study

    Wulandewi Marhaeni / Fabiola Vania Felicia / Arvin Leonard Sumadi Jap / Edi Hartoyo / Pudji Andayani

    Frontiers in Medicine, Vol

    2023  Volume 10

    Abstract: BackgroundFerritin has been recognized as a predictor of severity among Coronavirus-19 disease (COVID-19) patients. Studies have shown higher levels of ferritin in patients with COVID-19 than in healthy children. Patients with transfusion-dependent ... ...

    Abstract BackgroundFerritin has been recognized as a predictor of severity among Coronavirus-19 disease (COVID-19) patients. Studies have shown higher levels of ferritin in patients with COVID-19 than in healthy children. Patients with transfusion-dependent thalassemia (TDT) basically have high ferritin level due to iron overload. It is uncertain whether serum ferritin level in these patients is associated with COVID-19 infection.ObjectiveTo evaluate ferritin levels in TDT with COVID-19 before, during, and after the course of infection.MethodsThis retrospective study enrolled all TDT children with COVID-19 infection that were hospitalized in Ulin General Hospital Banjarmasin during the COVID-19 pandemic (March 2020 to June 2022). Data were collected from medical records.ResultsThere were 14 patients included in this study, 5 patients had mild symptoms and 9 patients were asymptomatic. The mean of hemoglobin level upon admission was 8.1 ± 3 g/dL and serum ferritin level were 5148.5 ± 2651.8 ng/mL. The average serum ferritin level during COVID-19 infection was 2373.2 ng/mL higher than before infection and then decreased by 952.4 ng/mL after infection. We found no association of increasing serum ferritin with patients’ symptoms (p = 0.27). The severity of anemia also was not correlated with the presentation of COVID-19 infection (p = 0.902).ConclusionSerum ferritin levels in TDT children may not reflect disease severity or predict poor outcomes during COVID-19 infection. However, the presence of other co-morbid conditions/confounders warrants cautious interpretation.
    Keywords transfusion-dependent thalassemia ; thalassemia ; pediatric ; hyperferritinemia ; ferritin ; COVID-19 ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2023-02-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Thalassemic Child Presenting with Anosmia due to COVID-19.

    Marhaeni, Wulandewi / Wijaya, Andreas Budi / Kusumaningtyas, Prabandari / Mapianto, Rahmawan Sakup

    Indian journal of pediatrics

    2020  Volume 87, Issue 9, Page(s) 750

    MeSH term(s) Adolescent ; Ageusia/blood ; Ageusia/diagnosis ; Ageusia/virology ; Betacoronavirus/isolation & purification ; COVID-19 ; Coronavirus Infections/blood ; Coronavirus Infections/complications ; Coronavirus Infections/diagnosis ; Coronavirus Infections/virology ; Female ; Hemoglobins/metabolism ; Humans ; Indonesia ; Olfaction Disorders/blood ; Olfaction Disorders/diagnosis ; Olfaction Disorders/virology ; Pandemics ; Pneumonia, Viral/blood ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/virology ; SARS-CoV-2 ; beta-Thalassemia/blood ; beta-Thalassemia/complications ; beta-Thalassemia/virology
    Chemical Substances Hemoglobins
    Keywords covid19
    Language English
    Publishing date 2020-06-09
    Publishing country India
    Document type Case Reports ; Letter
    ZDB-ID 218231-2
    ISSN 0973-7693 ; 0019-5456
    ISSN (online) 0973-7693
    ISSN 0019-5456
    DOI 10.1007/s12098-020-03370-4
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    In stock of ZB MED Cologne/Königswinter

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  7. Article ; Online: Thalassemic Child Presenting with Anosmia due to COVID-19

    Marhaeni, Wulandewi / Wijaya, Andreas Budi / Kusumaningtyas, Prabandari / Mapianto, Rahmawan Sakup

    The Indian Journal of Pediatrics

    2020  Volume 87, Issue 9, Page(s) 750–750

    Keywords Pediatrics, Perinatology, and Child Health ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    ZDB-ID 218231-2
    ISSN 0973-7693 ; 0019-5456
    ISSN (online) 0973-7693
    ISSN 0019-5456
    DOI 10.1007/s12098-020-03370-4
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  8. Article ; Online: Thalassaemia is paradoxically associated with a reduced risk of in-hospital complications and mortality in COVID-19: Data from an international registry.

    El-Battrawy, Ibrahim / Longo, Filomena / Núñez Gil, Iván J / Abumayyaleh, Mohammad / Gianesin, Barbara / Estrada, Vicente / Aparisi, Álvaro / Arroyo-Espliguero, Ramón / Balocco, Manuela / Barella, Susanna / Beccaria, Andrea / Bonetti, Federico / Casale, Maddalena / De Michele, Elisa / Denotti, Anna Rita / Fidone, Carmelo / Fortini, Monica / Gamberini, Maria Rita / Graziadei, Giovanna /
    Lisi, Roberto / Massa, Antonella / Marcon, Alessia / Rubinski, Bryan / Miano, Maurizio / Motta, Irene / Pinto, Valeria Maria / Piperno, Alberto / Mariani, Raffaella / Putti, Maria Caterina / Quota, Alessandra / Ribersani, Michela / Marziali, Marco / Roberti, Domenico / Rosso, Rosamaria / Tartaglione, Immacolata / Vitucci, Angelantonio / Voi, Vincenzo / Zecca, Marco / Romero, Rodolfo / Marouneld, Charbel / Fernández-Rozas, Inmaculada / Espejo, Carolina / Marhaeni, Wulandewi / Garcia Aguado, Marcos / Cappellini, Maria Domenica / Perrotta, Silverio / De Franceschi, Lucia / Piga, Antonio / Forni, Gian Luca / Akin, Ibrahim

    Journal of cellular and molecular medicine

    2022  Volume 26, Issue 9, Page(s) 2520–2528

    Abstract: Although numerous patient-specific co-factors have been shown to be associated with worse outcomes in COVID-19, the prognostic value of thalassaemic syndromes in COVID-19 patients remains poorly understood. We studied the outcomes of 137 COVID-19 ... ...

    Abstract Although numerous patient-specific co-factors have been shown to be associated with worse outcomes in COVID-19, the prognostic value of thalassaemic syndromes in COVID-19 patients remains poorly understood. We studied the outcomes of 137 COVID-19 patients with a history of transfusion-dependent thalassaemia (TDT) and transfusion independent thalassaemia (TIT) extracted from a large international cohort and compared them with the outcomes from a matched cohort of COVID-19 patients with no history of thalassaemia. The mean age of thalassaemia patients included in our study was 41 ± 16 years (48.9% male). Almost 81% of these patients suffered from TDT requiring blood transfusions on a regular basis. 38.7% of patients were blood group O. Cardiac iron overload was documented in 6.8% of study patients, whereas liver iron overload was documented in 35% of study patients. 40% of thalassaemia patients had a history of splenectomy. 27.7% of study patients required hospitalization due to COVID-19 infection. Amongst the hospitalized patients, one patient died (0.7%) and one patient required intubation. Continuous positive airway pressure (CPAP) was required in almost 5% of study patients. After adjustment for age-, sex- and other known risk factors (cardiac disease, kidney disease and pulmonary disease), the rate of in-hospital complications (supplemental oxygen use, admission to an intensive care unit for CPAP therapy or intubation) and all-cause mortality was significantly lower in the thalassaemia group compared to the matched cohort with no history of thalassaemia. Amongst thalassaemia patients in general, the TIT group exhibited a higher rate of hospitalization compared to the TDT group (p = 0.001). In addition, the rate of complications such as acute kidney injury and need for supplemental oxygen was significantly higher in the TIT group compared to the TDT group. In the multivariable logistic regression analysis, age and history of heart or kidney disease were all found to be independent risk factors for increased in-hospital, all-cause mortality, whereas the presence of thalassaemia (either TDT or TIT) was found to be independently associated with reduced all-cause mortality. The presence of thalassaemia in COVID-19 patients was independently associated with lower in-hospital, all-cause mortality and few in-hospital complications in our study. The pathophysiology of this is unclear and needs to be studied in vitro and in animal models.
    MeSH term(s) COVID-19/complications ; Female ; Hospitals ; Humans ; Iron Overload/etiology ; Male ; Oxygen ; Registries ; Thalassemia/complications ; Thalassemia/therapy
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2022-03-30
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2074559-X
    ISSN 1582-4934 ; 1582-4934 ; 1582-1838
    ISSN (online) 1582-4934
    ISSN 1582-4934 ; 1582-1838
    DOI 10.1111/jcmm.17026
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