anemia of chronic disease

[AllUpOnYoMama]

Golgan says its microcytic and first aid has normocytic. What up? anyone? thanks

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[WhtsThFrequency]

Anemia of chronic disease is normocytic and normochromic. Rarely, it can become microcytic/hypochromic if there is very, very prolonged and significant iron sequesteration...which then looks like anemia of chronic blood loss. It's N/N the vast majority of the time.

 

[bluntdissector]

We had to have ACD in both the normocytic and microcytic categories of our DDx during haematology, although it's normally N/N.

 

[SomeDoc]

Anemia of chronic disease is normocytic and normochromic. Rarely, it can become microcytic/hypochromic if there is very, very prolonged and significant iron sequesteration...which then looks like anemia of chronic blood loss. It's N/N the vast majority of the time.

Normocytic and normochromic is what you will see in a testing scenario, which will be accompanied by labs indicating low TIBC and high serum iron and ferritin levels (essentially the opposite lab values of microcytic iron deficiency anemia- to help you remember).

 

[AllUpOnYoMama]

Goljan, Brown (usmle step secrets), and robbins have ACD as microcytic.

 

[SomeDoc]

Goljan, Brown (usmle step secrets), and robbins have ACD as microcytic.

Focus on the labs. If you've got the labs mentioned earlier, you'll know what it is.

 

[JG198]

Normocytic and normochromic is what you will see in a testing scenario, which will be accompanied by labs indicating low TIBC and high serum iron and ferritin levels (essentially the opposite lab values of microcytic iron deficiency anemia- to help you remember).

Ferritin is HIGH -- This is the major difference in labs.
Iron is LOW
TIBC LOW

RR Path pg. 208

 

[SomeDoc]

Ferritin is HIGH -- This is the major difference in labs.
Iron is LOW
TIBC LOW

RR Path pg. 208

You're right. Thanks for clarifying that. I mixed high macrophage iron storage with serum iron levels.