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Algorithm of Mulherin et al for the Diagnosis of Iron Deficiency Anemia vs Anemia of Chronic Disease in a Patient with Rheumatoid Arthritis

Purpose:	To distinguish iron deficiency anemia from anemia of chronic disease in a patient with rheumatoid arthritis using the algorithm of Mulherin et al.
Specialty:	Hematology Oncology Clinical Laboratory Nephrology, Urology, Obstetrics & Gynecology, Pedatrics, Genetics Nephrology, Urology, Obstetrics & Gynecology, Pedatrics, Genetics General Surgery & Anesthesiology Gastroenterology
Objective:	clinical diagnosis, including family history for genetics, laboratory tests, criteria for diagnosis
ICD-10:	D50, M05
Description:	Serum ferritin levels may be elevated in patients who have both iron deficiency and chronic inflammation, making the distinction between iron deficiency anemia and the anemia of chronic disease difficult. Mulherin et al developed a simple algorithm based on simple laboratory measures to help diagnose anemia in patients with rheumatoid arthritis. The authors are from Dublin, Ireland.

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