MRCP UK EXAMINATIONS

CLINICAL ENCOUNTERS

RHEUMATOID ARTHRITIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Type of anemia that often develops in patients with RA
A
Normochromic Normocytic
B
Hypochromic Normocytic
C
Iron deficiency anemia
D
Megaloblastic
Explanation: 

Detailed explanation-1: -Rheumatoid Arthritis A normochromic normocytic anemia is a common finding in patients suffering from RA with the patient’s hemoglobin being mildly decreased, with levels greater than 10 g/dL usually seen unless there has been chronic bleeding from vasculitis of the stomach, kidneys, and so forth.

Detailed explanation-2: -Chronic diseases that can cause normocytic anemia include kidney disease, cancer, rheumatoid arthritis and thyroiditis. Some medicines can cause you to have normocytic anemia, but this does not happen often.

Detailed explanation-3: -Hemolytic anemia is classified as normocytic anemia with an MCV of 80 to 100 fL. It is a form of low hemoglobin due to the destruction of red blood cells, increased hemoglobin catabolism, decreased levels of hemoglobin, and an increase in efforts of bone marrow to regenerate products.

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