THE MERCK VETERINARY MANUAL
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Anemia of Chronic Disease

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Anemia of chronic disease can be characterized as mild to moderate, nonregenerative, normochromic, and normocytic. It is the most common form of anemia seen in animals. The anemia can be secondary to chronic inflammation or infection, neoplasia, liver disease, hyper- or hypoadrenocorticism, or hypothyroidism. The anemia is mediated by cytokines produced by inflammatory cells, which lead to decreases in iron availability, RBC survival, and the marrow's ability to regenerate. Treatment of the underlying disease results in resolution of the anemia. The anemia may be reduced by treatment with recombinant human erythropoietin, but the risk of antibody formation to endogenous erythropoietin probably outweighs any potential benefit.

Last full review/revision July 2011 by Sarah E. Kraiza, DVM, DACVIM (Oncology)

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