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Anaemia of chronic diseases

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Resumo:The authors review and discuss the current concepts concerning anaemia which coexists with multiple chronic diseases, denominated "Anaemia of Chronic Diseases". This is the most common form of anaemia in hospitalised medical patients. lt se/dom requires treatment as it normally resolves once the underlying disease has been successfully controlled. The most important pathogenic mechanism is a block in the re-utilisation of haemoglobin iron. A mechanism, mediated by the release of interleukins and other infiammation mediators, in response to tissue damage. ln terms of differential diagnosis, the problem is to distinguish between "Anaemia of Chronic Diseases" and "Sideropenic Anaemia" as the appropriate treatment differs. The therapeutic role of erythropoietin is discussed.
Autores principais:Sousa, Gabriela
Outros Autores:Alfaiate, Teresa; Ferreira, Mário Rui; Carvalho, Teresa; Veiga e Moura, António
Assunto:anemia doença crónica macrófagos interleuquinas patogenia eritropoietina Anaemia chronic disease macrophages interleukins pathogenesis erythropoietina
Ano:1999
País:Portugal
Tipo de documento:artigo
Instituição associada:Sociedade Portuguesa de Medicina Interna
Idioma:português
Origem:Revista Portuguesa de Medicina Interna
Descrição
Resumo:The authors review and discuss the current concepts concerning anaemia which coexists with multiple chronic diseases, denominated "Anaemia of Chronic Diseases". This is the most common form of anaemia in hospitalised medical patients. lt se/dom requires treatment as it normally resolves once the underlying disease has been successfully controlled. The most important pathogenic mechanism is a block in the re-utilisation of haemoglobin iron. A mechanism, mediated by the release of interleukins and other infiammation mediators, in response to tissue damage. ln terms of differential diagnosis, the problem is to distinguish between "Anaemia of Chronic Diseases" and "Sideropenic Anaemia" as the appropriate treatment differs. The therapeutic role of erythropoietin is discussed.