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Anemia of chronic disease is immune driven; cytokines and cells of the reticuloendothelial system induce changes in iron homeostasis, the proliferation of erythroid progenitor cells, the production of erythropoietin, and the life span of red cells, all of which contribute to the pathogenesis of anemia ( Figure 1 Pathophysiological Mechanisms Underlying Anemia of Chronic Disease.

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