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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What's Causing Dropping Hb In A Person Diagnosed With SLE And What's Your Opinion Regarding Geraldine?

Hi just wondering my daughter was diagnosed with SLE and it seems most times its affecting her HB she recently got a Iron infusion her HB came up but her recent bloods tests show a decrease again in HB why do you think this maybe her esr reads 106 what is your opinion regards geraldine she is on a cellcept and plaquenil
Tue, 4 Feb 2014
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General & Family Physician,  's  Response
HI, thanks for using healthcare magic

Anemia is a common problem associated with SLE. There are different possible reasons for anemia such as : (1) diet deficient in vitamin B12, folate, iron

(2) anemia of chronic disease- this is a type of anemia that occurs as a result of long term illnesses

(3)related to the medication

(4)blood loss

(5)as a result of infection

(6)related to kidney complications of SLE

(7)related to the immune system

Her doctor would assess her to determine what is the likely cause of anemia in your daughter's case.

This would involve taking her history and blood tests.

I hope this helps
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Rheumatologist,  Dr. Dr. Shruti Rijhwani's  Response
Dear Sir,

She needs to be evaluated for having autoimmune hemolytic anemia . You should get Coombs test done .

Dr. Shruti
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What's Causing Dropping Hb In A Person Diagnosed With SLE And What's Your Opinion Regarding Geraldine?

HI, thanks for using healthcare magic Anemia is a common problem associated with SLE. There are different possible reasons for anemia such as : (1) diet deficient in vitamin B12, folate, iron (2) anemia of chronic disease- this is a type of anemia that occurs as a result of long term illnesses (3)related to the medication (4)blood loss (5)as a result of infection (6)related to kidney complications of SLE (7)related to the immune system Her doctor would assess her to determine what is the likely cause of anemia in your daughter s case. This would involve taking her history and blood tests. I hope this helps