What is the relationship between rheumatoid arthritis and anemia

The first thing to tell patients is that rheumatoid arthritis can cause anemia. There are many causes of anemia caused by rheumatoid arthritis, and let our experts go through them one by one.

Anemia is a common symptom of extra-articular manifestations of rheumatoid arthritis. Anemia in typical rheumatoid arthritis is a chronic disease, and rheumatoid arthritis causes anemia for many different reasons, and the degree of anemia varies.

The cause of anemia caused by rheumatoid arthritis is related to iron metabolism disorders in patients with rheumatoid arthritis, and rheumatoid arthritis with iron deficiency anemia is not easy to distinguish from anemia of chronic disease. Anemia of chronic disease accounts for the majority of rheumatoid arthritis, and the cause of anemia caused by rheumatoid arthritis is unknown, but it is likely to be related to shortened red blood cell lifespan; The monocyte macrophage system mobilizes iron barriers, which reduces iron utilization; The bone marrow does not respond adequately to anemia, and hematopoiesis does not increase accordingly.

Anemia caused by rheumatoid arthritis is generally not severe, and if it is severe, gastrointestinal bleeding or drug-induced bone marrow suppression should be noted. Anemia depends on thoroughly**rheumatoid arthritis, which is generally recovered under the guidance of a doctor. More causes of anemia caused by rheumatoid arthritis also need to be further studied by experts.

Therefore, we now know the relationship between anemia and rheumatoid arthritis, and we know more about the causes of anemia caused by rheumatoid arthritis. Therefore, we should also pay attention to anemia while ** rheumatoid arthritis.

It will still cause, pay attention.

Hello! Anemia is the most common external manifestation of rheumatoid arthritis, with an incidence of about 16% to 65%, and the difference is due to different case selection and inconsistent criteria for diagnosing rheumatoid arthritis and anemia, for example, the incidence of anaemia is higher in inpatients than in outpatients.

Anemia in rheumatoid arthritis correlates with the degree of activity in rheumatoid arthritis, and severe advanced rheumatoid arthritis is prone to anemia. In some patients, anemia can be referred to as the first symptom, followed by joint inflammation.

Correction of anemia relies on controlling the progression of rheumatoid arthritis. Because anemia in rheumatoid arthritis tends to be less severe and does not progress, blood transfusions are rarely needed. Routine iron supplementation is generally not advocated because of the limited haemoglobin increase in this type of anemia and the risk of worsening joint symptoms when given in high doses.

Typical rheumatoid arthritis anemia is a chronic disease anemia, generally mild to moderate normocytic and normochromic anemia, and some hypochromic and microcytic anemia are the main types. The increase in small cells is not as pronounced as in iron deficiency anemia, but other types of anemia associated with about 1 4 cases of rheumatoid arthritis include pure red cell aplasia, autoimmune hemolytic anemia, and these are directly related to the immune deficit of rheumatoid arthritis. Megaloblastic anemia is occasionally seen, and folate deficiency is more common than vitamin B12 deficiency.

No. 446, Huangshan Road, Hefei City.

As a common autoimmune disease, rheumatoid has the most typical symptoms of symmetrical swelling, pain and morning stiffness, etc., but this is an intra-articular manifestation, many patients do not know, in fact, rheumatoid will also have extra-articular manifestations, anemia is one of the representative characteristics, the specific reason is see what Dr. Huang Runyue said.

The exact reason for this is unknown.

It is thought to be related to decreased iron utilization and shortened red blood cell lifespan due to impaired iron mobilization due to immunodeficiency caused by the disease itself.

Long-term use of anti-rheumatism drugs by rheumatoid patients will reduce appetite and nutrient intake, which will lead to the occurrence of anemia.

It's not that rheumatoid will cause anemia, but its own anemia, and its own weakness in all aspects of the body will cause rheumatoid There is no ** medicine to improve physical fitness Eat better.

Anemia caused by rheumatoid arthritis is not suitable for iron supplementation, and it is better to intervene with the nutritional product hemoglobin peptide.

Extra-articular conditions such as coronary arteries of the heart, vasculitis, swollen lymph glands, endocrine disorders, kidney disease, and even anemia develop. Many people wonder why joint diseases can cause anemia.

In fact, patients with rheumatoid arthritis do not have anemia in the early stage, but as the disease progresses and the lesion activity increases, the symptoms of anemia may appear. The severity of anemia is consistent with the activity of rheumatoid lesions, with anemia being more severe; The higher the joint mobility of the lesion is represented.

At present, the true cause of rheumatoid arthritis causes anemia is unknown. At best, it can only be assumed in medical research that it may be related to the abnormal distribution of iron, the raw material of hematopoiesis.

Another theory is that patients with rheumatoid arthritis take anti-rheumatic drugs for a long time, which reduces appetite and nutrient intake, which will lead to the occurrence of anemia.

In short, rheumatoid arthritis is very harmful to people, and the disease can endanger any part of the human body, so patients must be timely to avoid some adverse symptoms.

There are many causes of anemia, but another type of anemia is indeed related to rheumatic diseases, but you are not quite like this at present.

At present, the possibility of iron deficiency anemia is relatively high, whether there is increased menstrual bleeding or long-term non-eating meat or gastrointestinal diseases, the next step should be to check the level of ferritin, if it is indeed low, it is confirmed that it is iron deficiency poverty, and after confirmation, start iron supplementation**. Iron supplementation**1 week later, recheck the blood routine + reticulocytes, and continue iron supplementation for 4-6 months if there is improvement. (At present, it is a moderate to severe anemia, it is recommended to find out as soon as possible, if you are indeed weak and dizzy, you can go to the hospital for transfusion of 200ml of red blood cells) In addition, we must find the cause of iron deficiency and cure the source.

The second question, please add the absolute value of white blood cells, it is best to have the detailed items of the test sheet, and then see whether the monocyte above is the absolute value or percentage, whether it is 9 10 9 l, or 9%! This is completely different from not writing clearly.

Extra-articular diseases such as coronary vasculitis of the heart, swollen lymph nodes, endocrine disorders, kidney disease, or even poverty? The production of blood. Many people will ask, why can arthropathy cause anemia it?

In fact, patients with rheumatoid arthritis do not have anemia in the early stages, but as the disease progresses and the activity of the disease increases, the symptoms of anemia. Severe anemia, active rheumatoid disease, more severe anemia, higher activity of the diseased joints are representatives.

At the same time, the real cause of rheumatoid arthritis can cause anemia is not known. Medical studies can only hypothesize, at best, that it may be related to the hematopoietic raw material - the quality of iron due to abnormal distribution.

Another theory: the long-term use of anti-rheumatic drugs in patients with rheumatoid arthritis reduces appetite and reduces nutrient intake, which can lead to the occurrence of anemia.

In short, rheumatoid arthritis is harmful to people, this disease can damage any part of the body, so patients must be timely** to avoid some adverse symptoms.

No. 10, Chahar Road, Nanjing.

Iron deficiency anemia with thrombocythemia.

This disease can not be solved by dietary therapy, and now the situation needs to be grasped quickly, hemoglobin below 50 requires blood transfusion**, and it will be life-threatening in severe cases.

Rheumatoid arthritis can cause low hemoglobin and high platelets. Let's check if there is rheumatoid disease.

The effects of RA on the blood system, most commonly mild to moderate anemia, are caused by: nutritional deficiencies due to digestive disorders; Long-term use of non-steroidal drugs, causing peptic ulcers and chronic blood loss; Iron deficiency occurs in 25% of patients with anemia, presenting with serum iron deficiency and decreased total iron-binding capacity and transferrin saturation.

Hello! Anemia does not necessarily cause rheumatoid arthritis, but most cases can cause anemia. Therefore, rheumatoid arthritis is good, and anemia can be cured without medicine.

Patients with rheumatoid arthritis have reduced functioning of red blood cell lines in the bone marrow, and the ineffective production of cells is higher than normal, and this hematopoietic abnormality can be recovered after rheumatoid arthritis**, so anemia is the most common blood pat fluid change in active rheumatoid arthritis. Anemia occurs in about 15% to 70% of patients. The degree of anemia is correlated with the degree of activity of rheumatoid arthritis.

Usually mild to moderate anemia. Anemia progresses more slowly. The symptoms of anemia are often masked by the clinical manifestations of rheumatoid arthritis and are therefore easily overlooked.

Anemia is usually caused by a combination of causes. It is mainly chronic disease anemia (ACD), which is normal hypochromic anemia, and some are microcytic hypochromic anemia, or macrocytic anemia. Anemia of chronic disease can coexist with iron deficiency anemia and megaloblastic anemia.

A small number of patients may also have autoimmune hemolytic anemia (<10%) or pure red cell aplastic anemia.

Diagnosis and differential diagnosis: Based on the above clinical and laboratory tests, the diagnosis of anemia of chronic disease is not difficult, and the diagnostic criteria are: History of rheumatoid arthritis; Anemia is normal or microcytic hypochromic; serum iron is below normal, total iron-binding capacity is normal or below normal (300 μg dl), and transferrin saturation is between 16% and 30%; Serum ferritin is elevated (> 90 tlg L).

If rheumatoid arthritis has chronic anemia combined with iron deficiency anemia or megaloblastic anemia, attention should be paid to the analysis of MCV, iron index, folic acid, vitamin B, and other indicators (see the relevant content below).

**Rheumatoid can use traditional Chinese medicine to dispel wind and dampness soup, the effect is good, safe and non-***.

Difeng and dampness decoction can significantly inhibit and reduce capillary permeability, reduce inflammation and exudation, disappear edema, and quickly repair the five-layer tissue barrier of each joint, such as fascia, synovium, perichondrium, articular cartilage, and bone matrix, so as to reduce inflammation and swelling, dissipate cold and relieve pain; Its ultra-fine permeability can directly reach the cells of the patient's tissues, deeply kill the paralyzing poison, and cut off the root cause of rheumatism. It can quickly eliminate symptoms such as joint pain, numbness, and fever.

Rheumatism is a common disease, and it can be complicated by many other symptoms. Rheumatic anemia is one of them. Next, let the experts work with you to conduct some simple analysis of rheumatic anemia.

What are the early symptoms of rheumatic anemia? Because anemia is mild to moderate and occurs slowly, most patients have no obvious symptoms, only a few have fatigue, shortness of breath, palpitations, pallor and other manifestations, and generally no jaundice. More patients are masked by the various symptoms of rheumatism.

There are no characteristic positive signs of ACD per se. Rheumatic anemia can be diagnosed by a history of rheumatism accompanied by anemia, combined with peripheral blood, bone marrow and iron staining, serum iron and ferritin, and the exclusion of other types of anemia such as autoimmune hemolytic anemia (AIHA) and iron deficiency. Decreased serum iron is essential for diagnosis.

Sometimes anemia can be the first symptom or manifestation of rheumatism, which often makes diagnosis difficult. Therefore, clinicians must take into account the possibility of rheumatism in the differential diagnosis of anemia, especially in young women with a noisy mid-extremity hood. Through the above introduction, do you know a little bit about rheumatic anemia?