HIV and Anemia: An Overlooked... Video Transcript

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HIV and Anemia: An Overlooked Danger
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Webcast Transcript

"Am I anemic? What were my red counts a year ago? What are they now? Am I on any medicines that might cause me to be anemic?" This is a simple thing to go through every time you go over your lab work. It's something we really shouldn't be missing in anyone, because the data is usually there. It's a matter of paying attention to it.

Another thing I'd like to add is that, from a practical, day-to-day, clinical care point of view, I think anemia is a tree that gets lost in the forest of HIV and people's other medical conditions. For example, I saw a new patient a couple months ago who had a very bad heart disorder which made her short of breath, had relatively early HIV disease, and she and her cardiologist were very, very concerned about her worsening shortness of breath, fearing that her heart problem was worse. It turned out that most of her shortness of breath turned out to be from AZT-induced anemia, and when that anemia was corrected, her cardiac problems were minimal. This was a woman who thought she had two feet in the grave, one from her HIV disease, because she felt so bad, the other, thinking her heart disease was worse than it was because of her anemia. But the fatigue from the anemia overlapped the fatigue she had from her heart disease, and it was assumed on her part that she was tired because she was HIV-positive. That's why I encourage people to look at your lab work each time. It's easy to miss.

RENEE KEMP: Dr. Boyle, what is your take-home message for people who have HIV-related anemia?

BRIAN BOYLE, MD: My final thought would be that anemia is important to patients, and that they should be aware of whether or not they are anemic, especially if they're experiencing symptoms that we've discussed during this that may suggest anemia. If they encounter those, and if they are anemic, then it should be treated, and they should discuss that with their health care provider.

RENEE KEMP: I'd like to thank our guests, Dr. Lisa Capaldini and Dr. Brian Boyle, and you for joining our webcast. I'm Renee Kemp.

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