Evidence map›Paper›PMID 41892002›Full record

ArticleDiseases (Basel, Switzerland)2026

The Prevalence of Anemia and Diagnostic Usefulness of Ferritin and Hepcidin in Antiphospholipid Syndrome and Systemic Lupus Erythematosus Patients.

Natasa Stanisavljevic, Ljudmila Stojanovich, Aleksandra Djokovic, Violeta Dopsaj, Neda Milinkovic, Dusica Mrdaković, Olivera Markovic, Marija Zdravkovic, Dragomir Marisavljevic

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Article in Diseases (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Natasa StanisavljevicUniversity Clinical Center "Bezanijska Kosa", 11080 Belgrade, Serbia.ORCID 0000-0003-1496-9034
Ljudmila StojanovichMedical Faculty, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0000-0001-9548-2513
Aleksandra DjokovicUniversity Clinical Center "Bezanijska Kosa", 11080 Belgrade, Serbia.ORCID 0000-0002-6094-7306
Violeta DopsajFaculty of Pharmacy, University of Belgrade, 11000 Belgrade, Serbia.
Neda MilinkovicFaculty of Pharmacy, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0000-0002-2641-9817
Dusica MrdakovićFaculty of Pharmacy, University of Belgrade, 11000 Belgrade, Serbia.
Olivera MarkovicUniversity Clinical Center "Bezanijska Kosa", 11080 Belgrade, Serbia.ORCID 0000-0002-5957-0716
Marija ZdravkovicUniversity Clinical Center "Bezanijska Kosa", 11080 Belgrade, Serbia.ORCID 0000-0003-4059-0263
Dragomir MarisavljevicFaculty of Pharmacy, University of Belgrade, 11000 Belgrade, Serbia.

Funding

Ministry of Science of the Republic of Serbia 175041
6 · The paper itself

Abstract

backgroundAnemia is common among patients with antiphospholipid syndrome (APS). It can persist alone (primary APS-pAPS) or with another associated disease (secondary APS-sAPS), predominantly systemic lupus erythematosus (SLE). There are no systematic reviews addressing the type of anemia (iron deficiency without anemia-IDWA, iron deficiency-IDA, and anemia of chronic disease-ACD) in these patients.

objectivesThis study aimed to assess the type of anemia and to compare the usefulness of common diagnostic anemia parameters and their mutual relations.

methodsA cross-sectional study involving 163 patients was conducted at the University Clinical Center Bezanijska kosa from June 2022 to June 2024, including 79 patients with pAPS, 47 with sAPS and 37 patients diagnosed with SLE. We compared the usefulness of iron metabolism markers (serum iron-Fe; total iron-binding capacity-TIBC; ferritin; hepcidin) in the presence of inflammatory markers such as high-sensitivity (hsCRP) and IL6 in determining the type of anemia.

resultsThe most common types were IDA (61.9%) and IDWA (64.3%) in pAPS patients. In contrast, ACD was equally distributed across the three groups, with prevalences of 32%, 32%, and 36% (pAPS, sAPS, and SLE, respectively). A higher frequency of thrombosis was significantly associated with a high ferritin level ≥100 (

conclusionsIt was found that iron deficiency anemia was the most common form in pAPS, while anemia of chronic disease was equally present across all patient groups. Ferritin emerged as an independent marker for identifying iron deficiency anemia in APS patients. Although hepcidin reflects a low-inflammatory state in APS, it proved to be a more valuable tool than ferritin in distinguishing the type of anemia, especially when ferritin levels were inconclusive. Clinical manifestations in APS patients correlated with inflammatory markers. Liver function or any drug used alone or in combination had no impact on anemia type.

Indexed as

anemiaantiphospholipid syndromeferritinhepcidinsystemic lupus erythematosus

Identifiers

PMID41892002
PMCPMC13025763

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