Response to iron sucrose in dialysis patients sensitive to iron dextran

In the issue of the Journal (Saudi J Kidney Dis Transpl 2009;20(2):208-11), Haddad et al reported their experience of safety and efficacy of iron sucrose in hemodialysis patients with documented hypersensitivity reactions to low molecular weight iron dextran. [1] The authors concluded that iron sucrose is safe as well as effective in such patients. This conclusion was based on absence of any such hypersensitivity reaction and improvement in hematocrit, serum ferritin and iron levels.