Resistance of dialyzed patients to erythropoietin
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista brasileira de hematologia e hemoterapia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842015000300190 |
Resumo: | Resistance to recombinant human erythropoietin is a common condition in dialyzed patients with chronic kidney disease and is associated with more hospitalizations, increased mortality and frequent blood transfusions. The main cause of hyporesponsiveness to recombinant human erythropoietin in these patients is iron deficiency. However, a high proportion of patients does not respond to treatment, even to the use of intravenous iron, which indicates the presence of other important causes of resistance. In addition to the iron deficiency, the most common causes of resistance include inflammation, infection, malnutrition, inadequate dialysis, and hyperparathyroidism, although other factors may be associated. In the presence of adequate iron stores, other causes should be investigated and treated appropriately. |
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Resistance of dialyzed patients to erythropoietinDialysisErythropoietinIronResistance to recombinant human erythropoietin is a common condition in dialyzed patients with chronic kidney disease and is associated with more hospitalizations, increased mortality and frequent blood transfusions. The main cause of hyporesponsiveness to recombinant human erythropoietin in these patients is iron deficiency. However, a high proportion of patients does not respond to treatment, even to the use of intravenous iron, which indicates the presence of other important causes of resistance. In addition to the iron deficiency, the most common causes of resistance include inflammation, infection, malnutrition, inadequate dialysis, and hyperparathyroidism, although other factors may be associated. In the presence of adequate iron stores, other causes should be investigated and treated appropriately.Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular2015-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842015000300190Revista Brasileira de Hematologia e Hemoterapia v.37 n.3 2015reponame:Revista brasileira de hematologia e hemoterapia (Online)instname:Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC)instacron:ABHHTC10.1016/j.bjhh.2015.02.001info:eu-repo/semantics/openAccessAlves,Michelle TeodoroVilaça,Sandra SimoneCarvalho,Maria das GraçasFernandes,Ana PaulaDusse,Luci Maria Sant'AnaGomes,Karina Bragaeng2015-07-17T00:00:00Zoai:scielo:S1516-84842015000300190Revistahttp://www.rbhh.org/pt/archivo/https://old.scielo.br/oai/scielo-oai.phpsbhh@terra.com.br||secretaria@rbhh.org1806-08701516-8484opendoar:2015-07-17T00:00Revista brasileira de hematologia e hemoterapia (Online) - Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC)false |
dc.title.none.fl_str_mv |
Resistance of dialyzed patients to erythropoietin |
title |
Resistance of dialyzed patients to erythropoietin |
spellingShingle |
Resistance of dialyzed patients to erythropoietin Alves,Michelle Teodoro Dialysis Erythropoietin Iron |
title_short |
Resistance of dialyzed patients to erythropoietin |
title_full |
Resistance of dialyzed patients to erythropoietin |
title_fullStr |
Resistance of dialyzed patients to erythropoietin |
title_full_unstemmed |
Resistance of dialyzed patients to erythropoietin |
title_sort |
Resistance of dialyzed patients to erythropoietin |
author |
Alves,Michelle Teodoro |
author_facet |
Alves,Michelle Teodoro Vilaça,Sandra Simone Carvalho,Maria das Graças Fernandes,Ana Paula Dusse,Luci Maria Sant'Ana Gomes,Karina Braga |
author_role |
author |
author2 |
Vilaça,Sandra Simone Carvalho,Maria das Graças Fernandes,Ana Paula Dusse,Luci Maria Sant'Ana Gomes,Karina Braga |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Alves,Michelle Teodoro Vilaça,Sandra Simone Carvalho,Maria das Graças Fernandes,Ana Paula Dusse,Luci Maria Sant'Ana Gomes,Karina Braga |
dc.subject.por.fl_str_mv |
Dialysis Erythropoietin Iron |
topic |
Dialysis Erythropoietin Iron |
description |
Resistance to recombinant human erythropoietin is a common condition in dialyzed patients with chronic kidney disease and is associated with more hospitalizations, increased mortality and frequent blood transfusions. The main cause of hyporesponsiveness to recombinant human erythropoietin in these patients is iron deficiency. However, a high proportion of patients does not respond to treatment, even to the use of intravenous iron, which indicates the presence of other important causes of resistance. In addition to the iron deficiency, the most common causes of resistance include inflammation, infection, malnutrition, inadequate dialysis, and hyperparathyroidism, although other factors may be associated. In the presence of adequate iron stores, other causes should be investigated and treated appropriately. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842015000300190 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842015000300190 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjhh.2015.02.001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular |
publisher.none.fl_str_mv |
Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular |
dc.source.none.fl_str_mv |
Revista Brasileira de Hematologia e Hemoterapia v.37 n.3 2015 reponame:Revista brasileira de hematologia e hemoterapia (Online) instname:Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC) instacron:ABHHTC |
instname_str |
Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC) |
instacron_str |
ABHHTC |
institution |
ABHHTC |
reponame_str |
Revista brasileira de hematologia e hemoterapia (Online) |
collection |
Revista brasileira de hematologia e hemoterapia (Online) |
repository.name.fl_str_mv |
Revista brasileira de hematologia e hemoterapia (Online) - Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC) |
repository.mail.fl_str_mv |
sbhh@terra.com.br||secretaria@rbhh.org |
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1754213112465063936 |