Background: Dietary iron requirements are unclear in children with SS-type
sickle cell disease. Methods: Iron status was assessed in 104 nontransfused
African American children (aged 0.5 to 17.6 years) with sickle cell diseas
e who receive no iron supplement. Dietary iron intake was not measured at t
he time of this study. Results: Serum ferritin was normal or high in all ch
ildren. Other hematologic and biochemical indicators of iron deficiency wer
e in the normal range in most children. Conclusions: Unlike previous studie
s, this sample of children and adolescents did not show signs of iron defic
iency.