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Other Other causes of NRBC in the blood (normoblastemia) include [5, 1, 10]: Uremia (the presence of urea in the blood) Sepsis (severe reaction to infection) Liver disease Diabetic ketoacidosis Inflammatory bowel disease Kidney transplant Burns Chemotherapy Lead poisoning Pregnancy It is unclear why normoblastemia occurs in some of these, but the breakdown of the blood-bone marrow barrier may play a key role [5]