Enalapril-induced anemia in a renal transplant patient

Ozbek N., Ozen S., Saatci U.

ACTA PAEDIATRICA JAPONICA, vol.39, no.5, pp.626-627, 1997 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 5
  • Publication Date: 1997
  • Doi Number: 10.1111/j.1442-200x.1997.tb03654.x
  • Journal Name: ACTA PAEDIATRICA JAPONICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.626-627
  • Keywords: anemia, enalapril, renal transplantation, reticulocytosis, CONVERTING ENZYME-INHIBITION, ANGIOTENSIN, NEPHROPATHY
  • Ankara University Affiliated: No

Abstract

Side-effects of angiotensin converting enyzme (ACE) inhibitors, such as a slight decrease in hematocrit, are increasingly being reported. A 14-year-old renal transplant patient on enalapril therapy developed anemia with reticulocytosis. She was investigated for other causes of anemia and enalapril therapy was ceased. Her hemoglobin level increased and reticulocyte count decreased after cessation of therapy. No other cause of anemia was found. Although anemia in patients receiving ACE inhibitors such as enalapril has previously been reported, this is the first reported patient who developed anemia associated with mild reticulocytosis and macrocytosis.