Macrocytic anemia occurring in patients with fatigue suggests numerous
diagnoses, ranging from nutritional deficiencies to a myelodysplastic syndrome.
A careful history-taking is critically important for recognition of runner's
anemia, which is due to plasma volume expansion, with hemolysis from the pounding
of feet on pavement, and hemoglobinuria. Gastrointestinal blood loss may also
contribute to anemia in long-distance runners. Early recognition of runner's
anemia in patients with a complex presentation of anemia is important in circumventing
many diagnostic tests. Runner's anemia should be considered when, amidst a
constellation of signs and symptoms, mild anemia is well tolerated by an avid
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 10
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.