Anemia in cirrhosis:An underestimated entity  

作　　者：Manish Manrai Saurabh Dawra Rajan Kapoor Sharad Srivastava Anupam Singh 

机构地区：[1]Department of Internal Medicine,Armed Forces Medical College,Pune 411040,India [2]Department of Medicine and Gastroenterology,Command Hospital,Pune 411040,India [3]Department of Medicine,Command Hospital,Kolkata 70027,India [4]Department of Gastroenterology,Post Graduate Institute of Medical Education and Research,Chandigarh 160012,India

出　　处：《World Journal of Clinical Cases》2022年第3期777-789,共13页世界临床病例杂志

摘　　要：Anemia in a patient with cirrhosis is a clinically pertinent but often overlooked clinical entity.Relevant guidelines highlight the algorithmic approach of managing a patient of cirrhosis presenting with acute variceal hemorrhage but day-to-day management in hospital and out-patient raises multiple dilemmas:Whether anemia is a disease complication or a part of the disease spectrum?Should iron,folic acid,and vitamin B complex supplementation and nutritional advice,suffice in those who can perform tasks of daily living but have persistently low hemoglobin.How does one investigate and manage anemia due to multifactorial etiologies in the same patient:Acute or chronic blood loss because of portal hypertension and bone marrow aplasia secondary to hepatitis B or C viremia?To add to the clinician’s woes the prevalence of anemia increases with increasing disease severity.We thus aim to critically analyze the various pathophysiological mechanisms complicating anemia in a patient with cirrhosis with an emphasis on the diagnostic flowchart in such patients and proposed management protocols thereafter.

关 键 词：ANEMIA CIRRHOSIS Iron deficiency anemia Macrocytic anemia Normocytic anemia 

分 类 号：R575.2[医药卫生—消化系统] R556[医药卫生—内科学]