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Low iron levels and PMR

Polymyalgia Rheumatica (PMR) | Last Active: 14 hours ago | Replies (23)

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@maye

Frenchfrank51
Several months after my pmr diagnosis, my CRP and ESR suddenly elevated.
Haemoglobin plummeted, despite iron supplements and excellent dietary intake of iron rich foods (minus the red meat ) . To the point Drs considered I may have internal bleeding.

Urgent PET scan however showed diffuse large vessel GCA .

Anemia very quickly corrected with immediate treatment with high dose prednisone &. Actemera.

To answer your question in my experience iron supplementation does not stop or correct anemia in inflammatory autoimmune diseases . It’s the chronic inflammation causing anemia .

And your CRP is alarming high !
I suggest you ask your doctors you be throughly checked for possible GCA inflammation as the cause of your anemia.

Wishing you better health.

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Replies to "Frenchfrank51 Several months after my pmr diagnosis, my CRP and ESR suddenly elevated. Haemoglobin plummeted, despite..."

Thanks maye.
My PMR was only diagnosed because of a single blood test that showed the elevated CRP, Sed rate and a host of other things that have always been in range.

I have been checked for GCA, had scans, MRI 's, xrays, checking for vascular problems, infections etc but GCA has been ruled out. The stopped short of doing the biopsy because they thought it wasn't necessary after performing all the other tests.

My CRP has gone down from the 178 to 17 a week ago. I've gone down front 60mg of prednisone to 10 but the pain and stiffness comes back at that level. So I've had to go up to 15 for the past few days. Not what I want to do but I can barely move otherwise.

I have to test for iron again in about six weeks and if it's still low I'll get my rhumatologist to give supplements a thought. It'd be better if I tested for it sooner of course.

Good health to you too.