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. 2016 Apr 4;127(23):2809–2813. doi: 10.1182/blood-2015-12-639112

Table 1.

Hepcidin measurement in clinical practice: a decalogue for the hematologist

Comments Reference
Checklist before ordering the assay
 1. Ensure local availability of a validated assay See text and supplemental Table 1 19
 2. Ensure control of preanalytical conditions (including diurnal rhythm) See text 8, 25, 26
 3. Refer to age- and sex-specific ranges Significant differences between males and females, particularly during fertile period 22, 23
 4. Interpret hepcidin value into a minimum laboratory context (CBC, ferritin, transferrin saturation, CRP, serum creatinine, and liver function tests) See Figure 1
 5. Be aware of any potential confounders/comorbidities in the individual patient See Figure 1
Most promising applications
 6. Evaluation of suspected IRIDA Virtually diagnostic in an appropriate clinical context 54, 55
 7. Evaluation of IO disorders For example, ferroportin disease due to hepcidin resistant mutations (see text) 41, 42, 49, 51, 56, 57
 8. Diagnosis of concomitant ID in patients with ACD Promising reports in rheumatoid arthritis and inflammatory bowel disease patients, and in African children 32, 58-60
 9. Guide for iron therapy For example, selection of patients for direct IV supplementation; oral administration in children from developing countries with high prevalence of infectious diseases (see text) 6, 32, 58, 61-63
 10. Monitoring of treatments targeting the hepcidin/ferroportin axis To be confirmed by further studies 64

ACD, anemia of chronic disease; CBC, complete blood count; CRP, C-reactive protein; ID, iron deficiency; IO, iron overload; IRIDA, iron-refractory iron deficiency anemia.