Question 1

i have anemia of chronic disease. she told me my level was 100. level of what? what is normal? is at a little low or a lot?

Accepted Answer

Level: I need more information. I do not know what your level means either without the labs.

Question 2

herbal cures for anemia of chronic disease?

Accepted Answer

No: You have to be very careful about taking herbal- as sometimes you don't really know what is the ingredient. Anemia of chronic disease- is a type of anemia where is caused/related to chronic diseases that you have- for example- kidney disease, diabetes, liver disease etc. Growth factor like erythropietin/epogen can be used in anemia of chronic disease. Importantly to manage the chronic disease.

Question 3

for 10+ years my hgb is always around 13 and mcv around 75..prior to that it used to be hgb 15 and mcv 85...can it be anemia of chronic disease or els?

Accepted Answer

Any symptoms?: Do you have any chronic disease? Try taking oral iron and multivitamin supplements and repeat the study in about 6 months.

Question 4

what is the best test to differentiate iron deficiency anemia from anemia of chronic disease?

Accepted Answer

Ferritin: Ferritin measures the amount of iron storage in the body and usually is really low in iron deficiency anemia, contrary to anemia of chronic disease that usually shows a normal ferritin level. There are other parameters to take into account off course but this one is one of the best to differentiate.

Question 5

is it possible for an anemia of chronic disease, which needs iv iron transfusion, to precipitate to encephalopathy in a setting of extreme stress?

Accepted Answer

Encephalopathy: Not really, it seems more of a psychosomatic phenomena, way you have described it

Question 6

low serum iron 36 and very high ferritin level 1,171. is this anemia of chronic disease? high liver enzymes and alp 476. what's wrong?

Accepted Answer

Need more info: A complete history is needed! What other Med problems u have? The possibilities are many: anemia w elevated ferritin and normal MCV could be chronic disease. The elevated liver enzymes need imaging and if hep B and C were r/out, maybe a liver biopsy. Many chronic conditions like Rheumatoid arthritis,Lupus, autoimmune liver disease, may cause these findings. Did you mean Alfa fetoprotein?.see PCP

Question 7

hemoglobin 9.5, serum iron 17 mcg/dl, ferritin 14.7 ng/ml, transferrin 313 mg/dl. iron deficiency anemia or anemia of chronic disease?

Accepted Answer

Fe deficiency Anemia: Iron deficiency anemia. Needs Celiac disease ruled out as well as EGD/COLONOSCOPY performed to find the source.

Question 8

graves disease, psoriasis, arthritis. certain have anemia of chronic disease. vitamin/mineral levels including iron are ok. what can i do about it?

Accepted Answer

Association: Autoimmune diseases can affect almost any part of the body, including the heart, brain, nerves, muscles, skin, eyes, joints, lungs, kidneys, glands, the digestive tract, and blood vessels.Hyperthyroidism and psoriatic arthritis can occur together. Have your  physician try to get these autoimmune diseases under control. Subclinical hypothroidism  associated with 25% of patients with psoriasis.

Question 9

cbc shows hgb 13.8,hct 41.7% other values normal.iron 61,tibc 356,iron sat 17%,ferritin 113.is it iron deficiency anemia or anemia of chronic disease?

Accepted Answer

Anemia: Iron deficiency anemia has the following lab values: low hemoglobin and hematocrit, low MCV, low ferritin, low serum iron, high TIBC and low iron saturation.  Anemia of chronic disease has microcytic or normocytic anemia  with low reticulocyte count. Values for tranferrin ar low , ferritin normal or elevated. TIBC 250-460 mcg/dL, Iron 60 to 160 mcg/dL, Ferritin 12ng/ml to 1000ng/ml.

Question 10

why does anemia cause progression of chronic kidney disease?

Accepted Answer

Reversed sequence: Progression of chronic kidney disease results in development of anemia because kidney is no longer able to produce erythropoietin, a hormone enhancing red blood cell production from bone marrow.

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Doctor answers about:

Anemia of chronic disease

A member asked:

I have anemia of chronic disease. she told me my level was 100. level of what? what is normal? is at a little low or a lot?

A member asked:

Herbal cures for anemia of chronic disease?

A member asked:

For 10+ years my hgb is always around 13 and mcv around 75..prior to that it used to be hgb 15 and mcv 85...can it be anemia of chronic disease or els?

A member asked:

What is the best test to differentiate iron deficiency anemia from anemia of chronic disease?

A member asked:

Is it possible for an anemia of chronic disease, which needs iv iron transfusion, to precipitate to encephalopathy in a setting of extreme stress?

A member asked:

Low serum iron 36 and very high ferritin level 1,171. is this anemia of chronic disease? high liver enzymes and alp 476. what's wrong?

A member asked:

Hemoglobin 9.5, serum iron 17 mcg/dl, ferritin 14.7 ng/ml, transferrin 313 mg/dl. iron deficiency anemia or anemia of chronic disease?

A member asked:

Graves disease, psoriasis, arthritis. certain have anemia of chronic disease. vitamin/mineral levels including iron are ok. what can i do about it?

A member asked:

Cbc shows hgb 13.8,hct 41.7% other values normal.iron 61,tibc 356,iron sat 17%,ferritin 113.is it iron deficiency anemia or anemia of chronic disease?

A member asked:

Why does anemia cause progression of chronic kidney disease?

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