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MC anemia in the elderly?

Discussion in 'Step II' started by DOapplicant, Jul 25, 2006.

  1. DOapplicant

    DOapplicant Senior Member

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    hey does anyone know this one.

    i read in an article (aafp journal) that anemia of chronic dz was most common casue of anemia in the elderly.

    UW says it's Fe def anemia.

    tried to look it up in harrison's but i had no luck.

    seems hy so if anyone really knows would appreciate your help.
    thanks and good luck to everyone. :)
     
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  3. ucbdancn00

    ucbdancn00 Senior Member

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    Not quite sure what the stipulations of the AAFP journal article were, but a couple of things to consider

    1) Fe deficiency anemia may be more common (even if its just by a little) primarily because of nutritional deficits that elderly sustain. This in conjunction with various medications that interfere with Fe absorption, thinning skin that can lead to increased susceptibility to traumatic bleeding as well as increased of blood losses in stool

    2) AOCD is also a common cause, but assumes that the patient has inflammatory type conditions; take osteoarthritis vs, rheumatoid arthritis; if the patient had RA and a low MCV--> it's likely to be AOCD. If the patient had OA and a low MCV, then they're more likely to have Fe Deficiency anemia.

    hope this helps a bit..

    ucb
     
  4. Pox in a box

    Pox in a box 1K Member

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    Iron deficiency anemia hands down.
     
  5. docslytherin

    docslytherin Tenacious D.O.

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    definitely iron deficiency... also, AOCD usually has a normal MCV (according to UpToDate) to help differentiate if given the CBC
     
  6. DOapplicant

    DOapplicant Senior Member

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    thanks for the posts guys!

    if it's on my test- i'm going w/ IDA.
     

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