Table 1.

Important Studies of Deferoxamine Therapy in Thalassemia

FindingDateReference
IV and intramuscular administration promotes iron excretion 1962 58, 59 
Subcutaneous administration induces iron excretion 1964 60 
Intramuscular therapy stabilizes hepatic iron, arrests hepatic fibrosis in transfused patients 1974 61 
Supplemental ascorbic acid increases deferoxamine-induced urinary iron excretion 1974 62, 248 
24-h IV infusions calculated to achieve iron balance 1976 62, 63 
24-h subcutaneous infusions calculated to achieve iron balance 1976 64, 65 
Portable infusion pumps used to administer 24-h subcutaneous infusions 1976 64, 65 
12-h infusions calculated to achieve iron balance 1978 64 
Long-term subcutaneous therapy reduces hepatic iron concentration 1981 98, 99 
Significant fecal iron excretion induced by deferoxamine 1982 66 
Long-term subcutaneous therapy reduces incidence of cardiac disease in compliant patients 1985 83 
Early therapy extends survival in young cohorts of patients 1989 23 
IV and subcutaneous therapy normalizes hepatic iron concentration 1989 102 
Regular therapy started before age 10 years reduces incidence of gonadal dysfunction 1990 137 
Long-term therapy extends survival free of glucose intolerance and cardiac disease 1994 91, 92 
FindingDateReference
IV and intramuscular administration promotes iron excretion 1962 58, 59 
Subcutaneous administration induces iron excretion 1964 60 
Intramuscular therapy stabilizes hepatic iron, arrests hepatic fibrosis in transfused patients 1974 61 
Supplemental ascorbic acid increases deferoxamine-induced urinary iron excretion 1974 62, 248 
24-h IV infusions calculated to achieve iron balance 1976 62, 63 
24-h subcutaneous infusions calculated to achieve iron balance 1976 64, 65 
Portable infusion pumps used to administer 24-h subcutaneous infusions 1976 64, 65 
12-h infusions calculated to achieve iron balance 1978 64 
Long-term subcutaneous therapy reduces hepatic iron concentration 1981 98, 99 
Significant fecal iron excretion induced by deferoxamine 1982 66 
Long-term subcutaneous therapy reduces incidence of cardiac disease in compliant patients 1985 83 
Early therapy extends survival in young cohorts of patients 1989 23 
IV and subcutaneous therapy normalizes hepatic iron concentration 1989 102 
Regular therapy started before age 10 years reduces incidence of gonadal dysfunction 1990 137 
Long-term therapy extends survival free of glucose intolerance and cardiac disease 1994 91, 92 
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