Study of Iron Profile and Effect of Oral Iron Supplementation in Patients of Attention Deficit Hyperactivity Disorder in Rural Tertiary Health Care Centre from Central India A Case Series

摘要

Attention Deficit Hyperactivity Disorder (ADHD) is a neuropsychiatric condition affecting the preschoolers, children, adolescentsand adults globally. Dopamine synthesis is dependent on availability of iron in the body and dopamine deficit theory is the widelyaccepted ADHD causation theory. So, serum iron levels are important to watch out for in patients suffering from ADHD. Thisarticle describes six cases to emphasise the importance of diagnosing and treating underlying Iron Deficiency (ID) state withoral iron supplementation for effective management of patients suffering from ADHD. All the six cases which were given oraliron supplementation along with methylphenidate had shown improvement in inattentive domain and in hyperactivity-impulsivitydomain at both home as well as school settings. They were given doses of methylphenidate and oral iron supplement as per therecommended body weight. Their parents and teachers were asked to mark the responses on Swanson, Nolan, and Pelham RatingScale (SNAP-IV) 26 item parent and teacher rating scale respectively. Scores on SNAP-IV were recorded at the first visit and afterthree months of treatment. Scores were then evaluated on both occasions for evidence of improvement in ADHD symptoms.