Presentation
A total of 169 individuals (49.9%) presented alpha-thalassemia: 145 (42.8%) were heterozygous for the -alpha3.7 deletion (-alpha3.7/alphaalpha) and 18 (5.3%) homozygous (-alpha3.7/-alpha3.7), 5 (1.5%) were heterozygous for the nondeletional form alphaHphIalpha [ncbi.nlm.nih.gov]
[…] at the initial presentation. [ispub.com]
The present data are of clinical relevance, since microcytosis and hypochromia are often interpreted as indicators of iron deficiency and patients may be mistreated with oral iron therapy (18). [scielo.br]
Entire Body System
- Pallor
In microcytosis, bloods cellular volume decreases and skin and nails bed become pallor. [ehealthhall.com]
[…] same as all anemias plus: glossitis-red, beefy tongue peripheral neuropathy pallor jaundice splenomegaly loss of memory(may not come back) Paresthesias and numbness in extremities(1st sign) decreased vibratory sense weakness and ataxia What is the first [quizlet.com]
Hemoglobin H disease Symptoms of HbH disease (--/-α) are consistent with a chronic hemolytic anemia and include episodes of severe pallor and anemia. Patients are often symptomatic at birth; many others present with neonatal jaundice or anemia. [emedicine.medscape.com]
- Fatigue
Iron deficiency may be an under-recognised cause of fatigue in women of childbearing age [ 8 ]. Obesity is also a risk factor for iron deficiency [ 9 ]. [patient.info]
Image 2: Microcytosis Symptoms of Microcytosis The major finding of microcytosis is iron deficiency which can be estimated with following symptoms: Development of fatigue even after some mild physical activity due to lack of haemoglobin. [ehealthhall.com]
Common symptoms of microcytic anemias include: fatigue, weakness, and tiredness loss of stamina shortness of breath dizziness pale skin If you experience any of these symptoms and they don’t resolve within two weeks, make an appointment to see your doctor [healthline.com]
- Weakness
I have been feeling shaky, weak, and short of breath. Today was also quite hot where I live ... MD hi I just want to ask. [healthcaremagic.com]
[…] same as all anemias plus: glossitis-red, beefy tongue peripheral neuropathy pallor jaundice splenomegaly loss of memory(may not come back) Paresthesias and numbness in extremities(1st sign) decreased vibratory sense weakness and ataxia What is the first [quizlet.com]
Common symptoms of microcytic anemias include: fatigue, weakness, and tiredness loss of stamina shortness of breath dizziness pale skin If you experience any of these symptoms and they don’t resolve within two weeks, make an appointment to see your doctor [healthline.com]
- Congestive Heart Failure
Infants who survive to be born have massive total body edema with high-output congestive heart failure due to the severe anemia. They also have massive hepatomegaly due to heart failure and extramedullary hematopoiesis. [emedicine.medscape.com]
[…] infections inflammation malignancy pregnancy polycythemia sickle cell anemia congestive heart failure microcytosis hypofibrinogenemia Thanks! [forums.studentdoctor.net]
Respiratoric
- Dyspnea
In the latest Case Record of the Massachusetts General Hospital, a 62-year-old woman presented with dyspnea, anemia, and paraspinal masses. Examination revealed splenomegaly. Laboratory studies revealed microcytic anemia. [blogs.nejm.org]
Finally, depending on the severity and acuity of the anemia, the patient may have varying levels of fatigue or dyspnea. Most patients with microcytosis are asymptomatic, and physical examination findings are often limited. [aafp.org]
Cardiovascular
- Heart Failure
Iron depletion may increase the risk of developing heart failure, and seems to adversely affect prognosis of existing heart failure [ 19 ]. The risk of chronic lead poisoning may be increased by iron depletion. [patient.info]
Infants who survive to be born have massive total body edema with high-output congestive heart failure due to the severe anemia. They also have massive hepatomegaly due to heart failure and extramedullary hematopoiesis. [emedicine.medscape.com]
Nucleated red cells l Erythrocytes with nuclei l Found in severe anemia(except aplastic), myelofibrosis, severe heart failure, hemolytic anemia. 16. [hkimls.org]
[…] infections inflammation malignancy pregnancy polycythemia sickle cell anemia congestive heart failure microcytosis hypofibrinogenemia Thanks! [forums.studentdoctor.net]
Eyes
- Visual Impairment
These tips will help you prepare your child for preschool and ensure a smooth transition. 25 July 2017 Early learning experiences for children with visual impairments There is a growing ability of early childhood professionals to identify visual impairments [doctorclimer.com]
Fetus
- Hydrops Fetalis
Of the 664 patients represented, 163 (24.5%) were beta-thalassemia major carriers, 68 (10.2%) were hemoglobin Bart's hydrops fetalis carriers and, in total, 361 (54.4%) had some form of thalassemia. [ncbi.nlm.nih.gov]
Some patients may also suffer hydrops fetalis syndrome in utero. [emedicine.medscape.com]
Tan, Hemoglobin Bart’s Hydrops Fetalis Syndrome, Anesthetic and Obstetric Management of High-Risk Pregnancy, 10.1007/0-387-21572-7_17, (253-264), (2004). [dx.doi.org]
Skin
- Flushing
Thread Starter #6 In other conditions such as sickle cell anemia and polycythemia there is problem with shape and number (for comparison-toilet bowl clogged with toys of various shapes which cant be flushed due to confined pipe space and for polycythemia [forums.studentdoctor.net]
Workup
Step 3: Screen for JAK2 V617F JAK2 V617F mutation screening is now part of the diagnostic workup for thrombocytosis, according to the World Health Organization (WHO) diagnostic criteria for essential thrombocythemia and polycythemia vera. [ascopost.com]
Routine workup of the patient with anemia, advise: Hemoglobin and hematocrit. Red blood cell count. Blood indices. peripheral blood smear. Reticulocyte count. White blood cells count and platelets count. [labpedia.net]
Other Test Results
- Schistocytosis
Red blood cell inclusions Red blood cell morphology abnormal Red blood cell not clumping Red blood cell volume outside reference range Red blood cell: auto-agglutination Red blood cells - megaloblasts Reticulocyte count abnormal Rhytiocytosis Rouleaux Schistocytosis [icd9data.com]
Moderate/ Moderate number marked/ numerous Microcytosis MCV : 70 - 79 MCV : 60 - 69 MCV Macrocytosis MCV : 100 - 115 MCV : 115 - 125 MCV >125 Hypochromasia MCH : 23 - 26 MCH : 21 - 23 MCH Polychromasia 3 - 5% 5 - 25% >25% Spherocytosis 1 - 5% 5 - 25% >25% Schistocytosis [hkimls.org]
Serum
- Poikilocytosis
Compare poikilocytosis. See also anisocytosis. microcytic, adj. microcytosis The presence in the circulation of red cells with a mean corpuscular volume (MCV) of < 65 fL and a diameter of ≤ 6 µm. [medical-dictionary.thefreedictionary.com]
Aniso- and poikilocytosis were marked on a stained smear, and there were many small hyperchromatic cells of irregular shape. The MCV of 25 cu mu was very low and the MCHC was normal. [ncbi.nlm.nih.gov]
[…] cells Dacrocytosis Decreased erythrocyte destruction Dyserythropoiesis Echinocytosis Erythrocyte aggregation Finding of red blood cell staining Finding related to hemoglobin H inclusions Hematocrit - PCV abnormal Hereditary elliptocytosis with transient poikilocytosis [icd9data.com]
Moderate aniso- poikilocytosis with target cells and elliptocytes. A rare tear drop cell noted. ?Iron status. Increased rouleaux formation. Could you tell me what the significance ... [healthcaremagic.com]
Applicable To Abnormal red-cell morphology NOS Abnormal red-cell volume NOS Anisocytosis Poikilocytosis The following code(s) above R71.8 contain annotation back-references Annotation Back-References In this context, annotation back-references refer to [icd10data.com]
Treatment
It is desirable to routinely perform hemograms for all blood donors and further analyse the microcytic samples for Ferritin and HbA2 to diagnose IDA and BTT and to provide appropriate counselling/treatment. [ncbi.nlm.nih.gov]
Of the seven patients whose results had been documented, four received iron deficiency treatment and/or follow-up; the other three received no treatment or follow-up. [bmcpediatr.biomedcentral.com]
Read on Wikipedia Discussions around the web We found 18 discussions Treato does not review third-party posts for accuracy of any kind, including for medical diagnosis or treatments, or events in general. [treato.com]
Prognosis
Purchase More plans and pricing Keywords anemia artery basophil blood blood smear count diagnosis disease eosinophil follow hematology hospital human lab laboratory lens leukemia life lymphocyte medical medicine microscope monocyte neutrophil platelet prognosis [123rf.com]
Differentiation between thalassemic and non thalassemic microcytosis has important clinical implications, because each has an entirely different pathogenesis, prognosis, and treatment [ 1 - 3 ]. [ncbi.nlm.nih.gov]
Iron depletion may increase the risk of developing heart failure, and seems to adversely affect prognosis of existing heart failure [ 19 ]. The risk of chronic lead poisoning may be increased by iron depletion. [patient.info]
Etiology
The most common etiologies of iron deficiency anemia differ based on patient age and sex ( Table 3 2, 5, 8, 9 ). [aafp.org]
[…] ferriprive Anémie hémolytique Anémie Erythrocyte Etiologie Hypochromie Hémoglobine Hémoglobinopathie Hémogramme Hémopathie Microcytose Pédiatrie Volume Keyword (en) Erythrocytic membrane disease Iron deficiency anemia Hemolytic anemia Anemia Red blood cell Etiology [pascal-francis.inist.fr]
Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. [icd10data.com]
Epidemiology
[…] and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health URI: http://discovery.ucl.ac.uk/id/eprint/2597 Download [discovery.ucl.ac.uk]
Age-related clinical profile of hereditary hemorrhagic telangiectasia in an epidemiologically recruited population. Am. J. Med. Genet. 32: 291–297. CrossRef Google Scholar 2. Weatherall DJ (1994). The thalassaemias. [link.springer.com]
B.Modell et al., Epidemiology of haemoglobin disorders in Europe: an overview. Scand J Clin Lab Invest. 67, 39 (2007) R. Herklotz et al., Hämoglobinopathien ? Klinik und Diagnostik von Thalassämien und anomalen Hämoglobinen. Therap. [charite.de]
Lin M, Zhong TY, Chen YG, Wang JZ, Wu JR ,et al.(2014) Molecular epidemiological characterization and health burden of thalassemia in Jiangxi Province, P. R. China. PLoS One 9:101505 [omicsonline.org]
Epidemiology Iron depletion may be three times as common as iron deficiency anaemia (IDA), which has a prevalence of 2-5% of adult men and postmenopausal women in the developed world [ 3 ]. [patient.info]
Pathophysiology
Anemia of chronic disease: pathophysiology and laboratory diagnosis. Lab Hematol. 2005;11(1):14–23. 8. Jain S, Kamat D. Evaluation of microcytic anemia. Clin Pediatr (Phila). 2009;48(1):7–13. 9. Hershko C, Skikne B. [aafp.org]
1118 ) 4 Post-transplantation anaemia in adult and paediatric renal allograft recipients—Guy's Hospital experience, Nephrol Dial Transplant, 2006, vol. 21 (pg. 1974 - 1980 ) 5 Anaemia after renal transplantation-role of immunosuppressive drugs and a pathophysiological [academic.oup.com]
Prevention
Recommendations to prevent and control iron deficiency in the United States. Centers for Disease Control and Prevention. MMWR Recomm Rep. 1998;47(RR-3):1–29. 17. Waterbury L. Anemia. In: Barker LR, Burton JR, Zieve PD. [aafp.org]
The best way to prevent microcytic anemia is to get enough iron in your diet. Increasing your vitamin C intake can also help your body absorb more iron. You can also consider taking a daily iron supplement. [healthline.com]
[…] number: 1 DEF The decrease in the size of red blood cells. 2, record 1, English, - microcytosis Record number: 1, Textual support number: 1 CONT Microcytosis is frequently found in polycythemia vera and is due to concomitant iron deficiency, which may prevent [btb.termiumplus.gc.ca]
The Centers for Disease Control and Prevention guidelines call for a therapeutic dose of 60 milligrams (mg) of elemental iron once or twice per day for the anemic person. [livestrong.com]