Comment on the article “Erythrocyte morphological alterations as predictors of kidney injury severity”

Authors

  • José Alfredo Feria-Ramírez Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades “Dr. Antonio Fraga Mouret”, Servicio de Nefrología. Ciudad de México, México https://orcid.org/0000-0001-5017-9342

DOI:

https://doi.org/10.5281/zenodo.15178497

Keywords:

Renal Insufficiency, Chronic, Erythrocytes, Anemia

Abstract

After reviewing the article “Erythrocyte morphological alterations as predictors of kidney injury severity” published by Cruz-Balbuena et al., we can emphasize that erythrocytic changes have several pathophysiological mechanisms, such as iron deficiency, vitamin B12 deficiency, and the pro-inflammatory state of chronic kidney disease (CKD) itself. Furthermore, due to the accumulation of uremic toxins that result in a shortened lifespan of erythrocytes, a selection bias was found in their population and a positive but non-linear correlation. There are already several well-established progression markers with better correlation.

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References

Cruz-Balbuena A, Piedras Reyes L, Sánchez-Serrano JC et al. Alteraciones morfológicas eritrocitarias como predictores de la gravedad del daño renal. Rev Med Inst Mex Seguro Soc. 2024;62(6):e6205. doi: 10.5281/zenodo.13306729

Georgatzakou HT, Antonelou MH, Papassideri IS, et al. Red blood cell abnormalities and the pathogenesis of anemia in end-stage renal disease. Proteomics Clin Appl. 2016;10(8):778-90. doi: 10.1002/prca.201500127

Terry LRN, Mendoza-Hernández CA. Importance of peripheral blood smears study in the elderly. Medisur. 2017;15(3):362-82.

Published

2025-05-01

Issue

Section

Letter to the Editor