title: [A rare cause of anemia in a chronic dialyzed patient].
abstract: We reported the case of a female in chronic dialysis since 3 years who developed a normocytic a regenerative anemia with no evident etiology. A bone marrow smear revealed a copper deficiency, a rare cause of anemia in general and dialyzed populations. Copper supplementation improved anemia with a decrease in transfusions rate and erythropoietin dosage. This case suggests that a copper deficiency has to be considered when a myelodysplastic syndrome is associated with neurologic symptoms and granulocytes precursors vacuolization identified in bone marrow smear. A blood titration of trace elements should be considered in front of a refractory anemia with no evident etiology.
authors.affiliation: Service de néphrologie et transplantation rénale, université de Franche-Comté, hôpital Saint-Jacques, 2, place Saint-Jacques, 25000 Besançon, Franche-Comté, France.
authors.forename: Thomas
authors.initials: T
authors.lastname: Crépin
authors.forename: Jamal
authors.initials: J
authors.lastname: Bamoulid
authors.forename: André
authors.initials: A
authors.lastname: Tunda
authors.forename: Philippe
authors.initials: P
authors.lastname: Moskovtchenko
authors.forename: Didier
authors.initials: D
authors.lastname: Ducloux
mesh_terms: D000740:Anemia / Q000175:diagnosis / Q000209:etiology*; D003300:Copper / Q000172:deficiency*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009190:Myelodysplastic Syndromes / Q000150:complications / Q000175:diagnosis*; D006435:Renal Dialysis / Q000009:adverse effects*
chemical_list: D003300:Copper