title: Systemic Lupus Erythematosus as a Rare Cause of Anemia Resistant to Erythropoiesis-stimulating Agents.
abstract: Erythropoiesis-stimulating agents (ESAs) play an important role in the management of anemia in patients with chronic kidney disease, but the goals cannot be reached in 5% to 10% of the patients despite high-dose ESA treatment. In case of ESA resistance, all causes of anemia encountered in the general population should be carefully reviewed. We present a patient examined for ESA resistance that was diagnosed with systemic lupus erythematosus and subsequently showed improvement of anemia with systemic corticosteroids.
authors.affiliation: Department of Nephrology, Ankara Numune Research and Education Hospital, Ankara, Turkey. drbulent18@hotmail.com.
authors.forename: Ezgi Coskun
authors.initials: EC
authors.lastname: Yenigun
authors.forename: Nergiz
authors.initials: N
authors.lastname: Bayrakci
authors.forename: Simal Koksal
authors.initials: SK
authors.lastname: Cevher
authors.forename: Nihal
authors.initials: N
authors.lastname: Ozkayar
authors.forename: Fatih
authors.initials: F
authors.lastname: Dede
mesh_terms: D000328:Adult; D000740:Anemia / Q000188:drug therapy* / Q000209:etiology; D004921:Erythropoietin / Q000008:administration & dosage*; D005260:Female; D006397:Hematinics / Q000008:administration & dosage*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D006435:Renal Dialysis; D051436:Renal Insufficiency, Chronic / Q000150:complications; D055815:Young Adult
chemical_list: D006397:Hematinics; D004921:Erythropoietin