Clinical Case Database / Category: Case Based Discussion
Renal anaemia - diagnosis and therapy
H.Wodeyar, J.Barfield, M.Schulz
Foundation Years Journal, volume 5, issue 2, p.73 (123Doc Education, London, March 2011)
Erythropoietin deficiency is the major cause of anaemia in chronic kidney disease (CKD), but it is import to rule out other causes of anaemia first before diagnosing renal anaemia. Recombinant human erythropoietin (EPO) has been used for more than two decades in the treatment of renal anaemia, but as much it is accepted that it improves the physical and mental health of patients with renal anaemia the long-term benefits with regards to cardiovascular morbidity and mortality remain less clear. Consequently the target haemoglobin still remains a controversial topic. Tailoring anaemia management to each patient remains a challenge to the attending physician.
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