Anemia of Chronic Renal Failure and ESRD with Hepatitis C Patients: Role of Erythropoietin
摘要
Chronic kidney disease (CKD) is a serious global public health concern, affecting around 13% of the population. Anemia represents a prevalent consequence of CKD. Anemia improves the probability of cardiovascular disease, accelerates the course of kidney failure, and reduces life quality. Patients with CKD can develop anemia for a variety of reasons, which include but are not limited to lack of renal function. These individuals need a thorough assessment to determine and treat causes of anemia besides erythropoietin insufficiency. However, there is evidence of a lack of circulating erythropoietin (EPO). In this study, we evaluated serum EPO levels in 41 severely anemic individuals with HGB below 7 g/dL, including 184 ESRD patients with and without hepatitis C. The ESRD group with severe anemia showed serum EPO levels of 1.3–1.7 pg/mL, whereas the ESRD group with HCV had an EPO level of 1.0–1.2 pg/mL. Consider using recombinant human erythropoietin (rHuEPO) to treat the condition.