<human>: 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
<bot>: HI, thanks for using Chat Doctor Anemia is a common problem associated with SHE. 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 SHE(7)related to the immune system doctor would assess her to determine what is the likely cause of anemia in your daughters case. This would involve taking her history and blood tests. I hope this helps