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Multiple Choice

In anemia of inflammation, which iron parameter is typically elevated?

In anemia of inflammation, ferritin is elevated because ferritin acts as an acute-phase protein and iron becomes sequestered during inflammatory states. Inflammation triggers hepcidin, which blocks iron release from macrophages and decreases intestinal iron absorption. As a result, iron is trapped in storage and ferritin levels rise, even though circulating iron is low. This pattern contrasts with serum iron (typically reduced), TIBC (often reduced because transferrin production drops), and transferrin saturation (reduced). So the elevated parameter is ferritin.

In anemia of inflammation, ferritin is elevated because ferritin acts as an acute-phase protein and iron becomes sequestered during inflammatory states. Inflammation triggers hepcidin, which blocks iron release from macrophages and decreases intestinal iron absorption. As a result, iron is trapped in storage and ferritin levels rise, even though circulating iron is low. This pattern contrasts with serum iron (typically reduced), TIBC (often reduced because transferrin production drops), and transferrin saturation (reduced). So the elevated parameter is ferritin.