What is the anemia usually associated with chronic renal failure?
The anemia of chronic renal failure is usually normochromic normocytic. Hematocrit often stas to decrease when the serum creatinine level reaches 200 to 300 mmol/L (2 to 3 mg/dl) or when the glomerular filtration rate has decreased to about 20 to 30 ml/min. The etiology of the normochromic:normocytic anemia is probably a decreased synthesis of erythropoietin by the kidney. Ref: Bargman J.M., Skorecki K. (2012). Chapter 280. Chronic Kidney Disease. In D.L. Longo, A.S. Fauci, D.L. Kasper, S.L. Hauser, J.L. Jameson, J. Loscalzo (Eds), Harrison's Principles of Internal Medicine, 18e.
Hypochromic
Macrocytic
Normochromic normocytic
Microcytic