Abstract
Increasing use of maintenance parenteral iron in the erythropoietin (EPO) era has been accompanied by growing concern about iron overload. This article attempts to put the issue of iron overload in hemodialysis patients into perspective. The condition is less common in all dialysis patients today than it was in the pre-EPO era, since fewer patients are being transfused and EPO therapy shifts iron into erythroid cells. Patients with end stage renal disease (ESRD) are less likely than patients with hemochromatosis to develop iron-induced organ dysfunction. Diagnosis of iron overload is best accomplished through liver biopsy. Clinically significant iron overload, which rarely occurs if ESRD patients are properly managed, can be treated in most EPO-treated renal failure patients by simply withholding parenteral iron therapy.
TY - JOUR
T1 - Iron overload in the erythropoietin era.
A1 - Robbins,K C,
PY - 2000/12/9/pubmed
PY - 2006/6/9/medline
PY - 2000/12/9/entrez
SP - 227
EP - 31
JF - Nephrology nursing journal : journal of the American Nephrology Nurses' Association
JO - Nephrol Nurs J
VL - 27
IS - 2
N2 - Increasing use of maintenance parenteral iron in the erythropoietin (EPO) era has been accompanied by growing concern about iron overload. This article attempts to put the issue of iron overload in hemodialysis patients into perspective. The condition is less common in all dialysis patients today than it was in the pre-EPO era, since fewer patients are being transfused and EPO therapy shifts iron into erythroid cells. Patients with end stage renal disease (ESRD) are less likely than patients with hemochromatosis to develop iron-induced organ dysfunction. Diagnosis of iron overload is best accomplished through liver biopsy. Clinically significant iron overload, which rarely occurs if ESRD patients are properly managed, can be treated in most EPO-treated renal failure patients by simply withholding parenteral iron therapy.
SN - 1526-744X
UR - https://www.unboundmedicine.com/medline/citation/11111550/Iron_overload_in_the_erythropoietin_era_
L2 - https://www.diseaseinfosearch.org/result/3874
DB - PRIME
DP - Unbound Medicine
ER -