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Pathology General 67b7a2d8

What is the anemia usually associated with chronic renal failure?

A
Hypochromic
B
Macrocytic
C
Normochromic normocytic
D
Microcytic
High-Yield Explanation
The anemia of chronic renal failure is usually normochromic normocytic. Hematocrit often stas to decrease when the serum creatinine level reaches 200 to 300 mmol/L (2 to 3 mg/dl) or when the glomerular filtration rate has decreased to about 20 to 30 ml/min. The etiology of the normochromic:normocytic anemia is probably a decreased synthesis of erythropoietin by the kidney. Ref: Bargman J.M., Skorecki K. (2012). Chapter 280. Chronic Kidney Disease. In D.L. Longo, A.S. Fauci, D.L. Kasper, S.L. Hauser, J.L. Jameson, J. Loscalzo (Eds), Harrison's Principles of Internal Medicine, 18e.

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