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Will You Add? - What Does The Complete Blood Count Tell My Rheumatologist?
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Contrast that with the anemia from iron deficiency. This can be seen in patients treated with non
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Understanding the cause of anemia in a patient with arthritis is important to providing appropriate treatment. For instance anemia can be due to abnormal destruction of red blood cells due to antibodies directed against the red blood cells. This phenomenon is occasionally seen in diseases like systemic lupus erythematosus (SLE). Low white blood cells counts and low platelet counts can also be seen in SLE.
Many types of inflammatory arthritis such as rheumatoid arthritis, SLE, etc., are associated with an anemia called the “anemia of chronic disease.” This type of anemia does not respond to iron. Red blood cells are normal size and normal color. The anemia is due to inflammation which “locks” the iron inside the bone marrow and prevents it from being used to make new red blood cells. The treatment for this anemia is better control of the arthritis.
Contrast that with the anemia from iron deficiency. This can be seen in patients treated with non-
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Understanding the cause of anemia in a patient with arthritis is important to providing appropriate treatment. For instance anemia can be due to abnormal destruction of red blood cells due to antibodies directed against the red blood cells. This phenomenon is occasionally seen in diseases like systemic lupus erythematosus (SLE). Low white blood cells counts and low platelet counts can also be seen in SLE.
Many types of inflammatory arthritis such as rheumatoid arthritis, SLE, etc., are associated with an anemia called the “anemia of chronic disease.” This type of anemia does not respond to iron. Red blood cells are normal size and normal color. The anemia is due to inflammation which “locks” the iron inside the bone marrow and prevents it from being used to make new red blood cells. The treatment for this anemia is better control of the arthritis.
Contrast that with the anemia from iron deficiency. This can be seen in patients treated with non
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Many types of inflammatory arthritis such as rheumatoid arthritis, SLE, etc., are associated with an anemia called the “anemia of chronic disease.” This type of anemia does not respond to iron. Red blood cells are normal size and normal color. The anemia is due to inflammation which “locks” the iron inside the bone marrow and prevents it from being used to make new red blood cells. The treatment for this anemia is better control of the arthritis.
Contrast that with the anemia from iron deficiency. This can be seen in patients treated with non
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Contrast that with the anemia from iron deficiency. This can be seen in patients treated with non
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Contrast that with the anemia from iron deficiency. This can be seen in patients treated with non-steroidal anti-inflammatory drugs (NSAIDS) who develop gastrointestinal bleeding. The anemia is caused by loss of blood and will respond to iron therapy. Red blood cells are small and pale.
Therapy with drugs such as methotrexate can lead to a deficiency of folate. This folate deficiency also causes an anemia. The anemia in this case is associated with large red blood cells. It is a sign that the patient needs to be treated with folic acid. Azathioprine is another drug used for arthritis that causes an anemia with large red blood cells.
Anemia should be investigated to determine whether the anemia is due to drug toxicity, complications of the arthritis, or some other cause. For example, a patient with large red blood cells may have a vitamin B12 deficiency accounting for their anemia.
Patients with anemia may complain of being fatigued or of feeling weak.
Patients with low platelet counts may be an increased risk for developing severe bleeding.
Patients with low white blood cell counts may be at increased risk for infectio
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