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]
When thalassemia is present, there may be an increased or at least a relatively increased (greater than three times the Hgb level) RBC count in relation to the hemoglobin and hematocrit. Many hemoglobin disorders result in microcytic anemia. [news.mayomedicallaboratories.com]
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]
Entire Body System
- Vietnamese
The subjects were of Tai-dam, Vietnamese, Chinese, Laotian, and European origin. [ncbi.nlm.nih.gov]
Eyes
- Progressive Loss of Vision
Retinitis pigmentosa (RP) is a highly heterogeneous group of disorders characterized by degeneration of the retinal photoreceptor cells and progressive loss of vision. [ncbi.nlm.nih.gov]
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]
Serum
- Transferrin Saturation Decreased
Iron deficiency anemia is still probable if the serum iron level and transferrin saturation are decreased and TIBC is increased. [aafp.org]
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]
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]
Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. [icd10data.com]
Amenia classification on the basis of etiology: Increased RBCs destruction due to intra or extra red blood cells defects. Increased blood loss which may acute or chronic. Defective RBCs formation due to Lake of factors necessary for erythropoiesis. [labpedia.net]
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]
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]