Yes, hepatitis can affect hemoglobin levels.
Hepatitis, especially viral hepatitis, can lead to hematological complications, including anemia. While not all hepatitis infections directly cause changes in hemoglobin, some types of hepatitis can contribute to conditions that lower hemoglobin levels.
Here's how hepatitis can impact hemoglobin:
- Anemia: Viral infections, including hepatitis viruses, are known to cause anemia. [Reference 8]
- Hemolytic Anemia: This type of anemia involves the premature destruction of red blood cells. [Reference 9] Because hemoglobin is contained within red blood cells, their destruction leads to a decrease in hemoglobin levels. The breakdown products of hemoglobin also cause jaundice and hemoglobinuria. [Reference 9]
Therefore, while not a direct effect in all cases, certain forms of hepatitis can contribute to anemia, leading to lower hemoglobin levels. The mechanisms can involve immune-mediated destruction of red blood cells, or other indirect effects related to liver dysfunction.