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CPE-004 · Iron status

ID-ST-05: Inflammation-associated iron restriction possible

Inflammation-associated iron restriction possible. Evaluates inflammation documented or hs-CRP above 5 mg/L.

Active rulePriority 5Iron engine v1.0.0

Condition

  • inflammation documented or hs-CRP above 5 mg/L
  • ferritin 70 to 299 ng/mL
  • transferrin saturation < 20%

What it reports

  • Functional iron restriction possible: anemia of inflammation, with or without absolute deficiency

Diagnostic boundary

  • Cannot separate anemia of inflammation from combined deficiency by these values alone.

Evidence

  • EV-CAMASCHELLA-2015Camaschella C. Iron-deficiency anemia. N Engl J Med. 2015;372(19):1832-1843.Supports: Stages of iron deficiency, causes and differential diagnosis of microcytic anemia
  • EV-AHA-HF-2022Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure. Circulation. 2022;145(18):e895-e1032.Supports: Iron deficiency in heart failure: ferritin <100 ng/mL, or 100–299 ng/mL with transferrin saturation <20%

Cases where this rule fires

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