Anemia with extrinsic hemolysis: Difference between revisions

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VisualWikitext

Latest revision as of 17:08, 16 October 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Differentiating Anemia with extrinsic hemolysis from Other Diseases

To review the differential diagnosis of anemia, click here.

Disease	Genetics	Clinical manifestation					Lab findings
		History	Symptoms	Signs	Hemolysis	Intrinsic/Extrinsic	Hb concentration	MCV	RDW	Reticulocytosis	Haptoglobin levels	Hepcidin	Iron studies					Specific finding on blood smear
		History	Symptoms	Signs	Hemolysis	Intrinsic/Extrinsic	Hb concentration	MCV	RDW	Reticulocytosis	Haptoglobin levels	Hepcidin	Serum iron	Serum Tfr level	Transferrin or TIBC	Ferritin	Transferrin saturation	Specific finding on blood smear
Microangiopathic hemolytic anemia^[1]^[2]	−	Associated with DIC TTP HUS SLE HELLP syndrome Hypertensive emergency	Purpura Confusion Aphasia Diplopia	Numbness of an arm or hand Jaundice Pale conjunctiva	+	Extrinsic	Normochromic	Normocytic	↑	↑	↓	Nl	↓	Nl	−	↑	−	Helmet cells
Macroangiopathic hemolytic anemia^[3]	Autoimmune	Associated with Prosthetic heart valves Aortic stenosis	Pallor Fatigue	Signs of anemia Complications of hemolysis Decreased vascular volume	+	Extrinsic	Normochromic	Normocytic	↑	↑	↓	Nl	↓	Nl	−	−	−	Spherocytes or schistocytes
Autoimmune hemolytic anemia^[4]	−	Associated with: SLE CLL Mycoplasma pneumonia	Painful blue fingers and toes on exposure to cold temperature Chest pain Chills Dizziness Tachycardia Headache Fatigue	Painful, blue fingers and toes with cold weather	+	Extrinsic	Normochromic	Normocytic	↑	↑	↓	Nl	↓	Nl	−	−	−	RBC agglutination
Infections^[5]	−	Associated with Malaria Babesia	Fever	Fever Signs of shock Headache	+	Extrinsic	Normochromic	Normocytic	↑	↑	↓	Nl	Nl	Nl	−	−	−	Trophozoite Maltese crosses
Disease	Genetics	History	Symptoms	Signs	Hemolysis	Intrinsic/Extrinsic	Hb concentration	MCV	RDW	Reticulocytosis	Haptoglobin levels	Hepcidin	Serum iron	Serum Tfr level	IBC	Ferritin	Transferrin saturation	Specific finding on blood smear

References

↑ Morishita E (July 2015). "[Diagnosis and treatment of microangiopathic hemolytic anemia]". Rinsho Ketsueki (in Japanese). 56 (7): 795–806. doi:10.11406/rinketsu.56.795. PMID 26251142.
↑ George JN, Charania RS (March 2013). "Evaluation of patients with microangiopathic hemolytic anemia and thrombocytopenia". Semin. Thromb. Hemost. 39 (2): 153–60. doi:10.1055/s-0032-1333538. PMID 23390027.
↑ Westphal RG, Azen EA (May 1971). "Macroangiopathic hemolytic anemia due to congenital cardiovascular anomalies". JAMA. 216 (9): 1477–8. PMID 5108522.
↑ Hill QA (October 2015). "Autoimmune hemolytic anemia". Hematology. 20 (9): 553–4. doi:10.1179/1024533215Z.000000000401. PMID 26447931.
↑ Bustinduy AL, Parraga IM, Thomas CL, Mungai PL, Mutuku F, Muchiri EM, Kitron U, King CH (March 2013). "Impact of polyparasitic infections on anemia and undernutrition among Kenyan children living in a Schistosoma haematobium-endemic area". Am. J. Trop. Med. Hyg. 88 (3): 433–40. doi:10.4269/ajtmh.12-0552. PMC 3592521. PMID 23324217.

[pmid26251142-1] Morishita E (July 2015). "[Diagnosis and treatment of microangiopathic hemolytic anemia]". Rinsho Ketsueki (in Japanese). 56 (7): 795–806. doi:10.11406/rinketsu.56.795. PMID 26251142.

[pmid23390027-2] George JN, Charania RS (March 2013). "Evaluation of patients with microangiopathic hemolytic anemia and thrombocytopenia". Semin. Thromb. Hemost. 39 (2): 153–60. doi:10.1055/s-0032-1333538. PMID 23390027.

[pmid5108522-3] Westphal RG, Azen EA (May 1971). "Macroangiopathic hemolytic anemia due to congenital cardiovascular anomalies". JAMA. 216 (9): 1477–8. PMID 5108522.

[pmid26447931-4] Hill QA (October 2015). "Autoimmune hemolytic anemia". Hematology. 20 (9): 553–4. doi:10.1179/1024533215Z.000000000401. PMID 26447931.

[pmid23324217-5] Bustinduy AL, Parraga IM, Thomas CL, Mungai PL, Mutuku F, Muchiri EM, Kitron U, King CH (March 2013). "Impact of polyparasitic infections on anemia and undernutrition among Kenyan children living in a Schistosoma haematobium-endemic area". Am. J. Trop. Med. Hyg. 88 (3): 433–40. doi:10.4269/ajtmh.12-0552. PMC 3592521. PMID 23324217.

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[5]

@@ Line 33: / Line 33: @@
 ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Ferritin
 ! style="background: #4479BA; color: #FFFFFF; text-align: center;" | Transferrin saturation
-|-
-! align="center" style="background:#DCDCDC;" |[[Iron deficiency anemia]]<ref name="pmid25946282">{{cite journal |vauthors=Camaschella C |title=Iron-deficiency anemia |journal=N. Engl. J. Med. |volume=372 |issue=19 |pages=1832–43 |date=May 2015 |pmid=25946282 |doi=10.1056/NEJMra1401038 |url=}}</ref>
-| align="center" style="background:#F5F5F5;" | −
-| align="left" style="background:#F5F5F5;" |
-* [[Menorrhagia]]
-* [[GI]] loss
-* [[Gastrointestinal tract|GI]] surgery
-* [[Pregnancy]]
-| align="left" style="background:#F5F5F5;" |
-* [[Koilonychia]]
-* [[Pica]]
-| align="left" style="background:#F5F5F5;" |
-* [[Glossitis]]
-* [[Cheilosis]]
-* [[Dysphagia]]
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | [[Hypochromic anemia|Hypochromic]]
-| align="center" style="background:#F5F5F5;" | [[Microcytic anemia|Microcytic]]
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | Nl or ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | ↓↓↓
-| align="left" style="background:#F5F5F5;" |
-* Central [[pallor]]
-|-
-! align="center" style="background:#DCDCDC;" |[[Iron deficiency anemia]] (early phase)<ref name="pmid24972460">{{cite journal |vauthors=De Andrade Cairo RC, Rodrigues Silva L, Carneiro Bustani N, Ferreira Marques CD |title=Iron deficiency anemia in adolescents; a literature review |journal=Nutr Hosp |volume=29 |issue=6 |pages=1240–9 |date=June 2014 |pmid=24972460 |doi=10.3305/nh.2014.29.6.7245 |url=}}</ref>
-| align="center" style="background:#F5F5F5;" | −
-| align="left" style="background:#F5F5F5;" |
-* [[Pica]]
-* [[Glossitis]]
-* [[Angular cheilitis|Cheilosis]]
-| align="left" style="background:#F5F5F5;" |
-* [[Fatigue]]
-* [[Headache]]
-| align="left" style="background:#F5F5F5;" |
-* [[Koilonychia]]
-* Conjunctival [[pallor]]
-* [[Xeroderma|Dry skin]]
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | [[Normochromic anemia|Normochromic]]
-| align="center" style="background:#F5F5F5;" | [[Normocytic anemia|Normocytic]]
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | ↓
-| align="left" style="background:#F5F5F5;" |
-* Pencil [[Cell (biology)|cells]]
-* [[Hereditary elliptocytosis|Elliptocytosis]]
-* Hypochromasia
-|-
-! align="center" style="background:#DCDCDC;" |[[Lead poisoning]]<ref name="pmid25220013">{{cite journal |vauthors=Bain BJ |title=Lead poisoning |journal=Am. J. Hematol. |volume=89 |issue=12 |pages=1141 |date=December 2014 |pmid=25220013 |doi=10.1002/ajh.23852 |url=}}</ref>
-| align="center" style="background:#F5F5F5;" | −
-| align="left" style="background:#F5F5F5;" |
-* House painted with chipped paint
-| align="left" style="background:#F5F5F5;" |
-* Burtonian lines
-* [[Basophilic]] [[Stippling (dentistry)|stippling]]
-* [[Wrist drop]]
-* [[Foot drop]]
-| align="left" style="background:#F5F5F5;" |
-* [[Wrist drop]]
-* [[Foot drop]]
-* Burtonian lines
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | [[Intravascular|Hypochromic]]
-| align="center" style="background:#F5F5F5;" | [[Microcytic anemia|Microcytic]]
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl or ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl to ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl to ↓
-| align="center" style="background:#F5F5F5;" | −
-| align="left" style="background:#F5F5F5;" |
-* [[Red blood cell|RBCs]] retain aggregates of [[Ribosomal RNA|rRNA]]
-* Basophilic stippling
-|-
-! align="center" style="background:#DCDCDC;" |[[Sideroblastic anemia]]<ref name="pmid25064706">{{cite journal |vauthors=Bottomley SS, Fleming MD |title=Sideroblastic anemia: diagnosis and management |journal=Hematol. Oncol. Clin. North Am. |volume=28 |issue=4 |pages=653–70, v |date=August 2014 |pmid=25064706 |doi=10.1016/j.hoc.2014.04.008 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* Defect in [[ALA synthase]] gene
-* [[Autosomal dominant]]
-* [[Autosomal recessive]]
-* [[X-linked]]
-| align="left" style="background:#F5F5F5;" |
-* [[Alcohol]] abuse
-* [[Isoniazid]] use
-* [[Chloramphenicol]] use
-* [[Idiopathic]]
-| align="left" style="background:#F5F5F5;" |
-* [[Seborrheic dermatitis]]
-* Glossy Tongue
-* [[Tingling]]
-| align="left" style="background:#F5F5F5;" |
-* Patient present with symptoms of [[Vitamin B6]], [[copper deficiency]] symptoms
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | [[Hypochromic anemia|Hypochromic]]
-| align="center" style="background:#F5F5F5;" | [[Microcytic anemia|Microcytic]]
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl or ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl to ↓
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | −
-| align="left" style="background:#F5F5F5;" |
-* Ringed [[Sideroblastic|sideroblasts]]
-|-
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Disease
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Genetics
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Symptoms
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Signs
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hemolysis
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Intrinsic/Extrinsic
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hb concentration
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |MCV
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |RDW
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reticulocytosis
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Haptoglobin levels
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hepcidin
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Serum iron
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Serum Tfr level
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |IBC
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Ferritin
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Transferrin saturation
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specific finding on blood smear
-|-
-! align="center" style="background:#DCDCDC;" |[[Anemia of chronic disease]]<ref name="pmid21239806">{{cite journal |vauthors=Roy CN |title=Anemia of inflammation |journal=Hematology Am Soc Hematol Educ Program |volume=2010 |issue= |pages=276–80 |date=2010 |pmid=21239806 |doi=10.1182/asheducation-2010.1.276 |url=}}</ref>
-| align="center" style="background:#F5F5F5;" | −
-| align="left" style="background:#F5F5F5;" |
-* [[Rheumatoid arthritis]]
-* [[SLE]]
-* [[Neoplasm]]
-* [[Chronic kidney disease]]
-| align="left" style="background:#F5F5F5;" |
-* [[Headache]]
-* [[Shortness of breath]]
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | [[Hypochromic anemia|Hypochromic]]
-| align="center" style="background:#F5F5F5;" | [[Microcytic anemia|Microcytic]]
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl or ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | NA
-|-
-! align="center" style="background:#DCDCDC;" |[[Thalassemia]]<ref name="pmid25500521">{{cite journal |vauthors=Zainal NZ, Alauddin H, Ahmad S, Hussin NH |title=α-Thalassemia with Haemoglobin Adana mutation: prenatal diagnosis |journal=Malays J Pathol |volume=36 |issue=3 |pages=207–11 |date=December 2014 |pmid=25500521 |doi= |url=}}</ref>
-| align="left" style="background:#F5F5F5;" | '''[[Thalassemia|α-thalassemia]]'''
-* '''''α'''''- globin gene deletions
-* [[Cis]] deletions
-* [[Trans]] deletions
-'''[[Thalassemia|β-thalassemia]]'''
-* [[Point mutation]] in [[Splice site|splice sites]] and promoter sequences
-| align="left" style="background:#F5F5F5;" |
-* Associated with [[parvovirus B19]]
-| align="left" style="background:#F5F5F5;" | [[Thalassemia|'''α-thalassemia''']]
-* [[Hydrops fetalis]]
-[[Thalassemia|'''β-thalassemia''']]
-* [[Skeletal]] deformities
-* Chipmunk facies
-| align="left" style="background:#F5F5F5;" |
-* [[Hepatomegaly]]
-* [[Splenomegaly]]
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | [[Hypochromic anemia|Hypochromic]]
-| align="center" style="background:#F5F5F5;" | [[Microcytic anemia|Microcytic]]
-| align="center" style="background:#F5F5F5;" | Nl
-| align="left" style="background:#F5F5F5;" |
-* Thalassemia trait: Nl or ↓
-* Thalassemia Syndromes: ↑
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl to ↑
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | Nl to ↑
-| align="left" style="background:#F5F5F5;" |
-* [[Target cell|Target cells]]
-* Anisopoikilocytosis
-|-
-! align="center" style="background:#DCDCDC;" |[[Glucose 6 phosphate dehydrogenase deficiency|G6pd deficiency]]<ref name="pmid24372186">{{cite journal |vauthors=Luzzatto L, Seneca E |title=G6PD deficiency: a classic example of pharmacogenetics with on-going clinical implications |journal=Br. J. Haematol. |volume=164 |issue=4 |pages=469–80 |date=February 2014 |pmid=24372186 |pmc=4153881 |doi=10.1111/bjh.12665 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* Defect in [[Glucose-6-phosphate dehydrogenase|G6PD]] enzyme
-* X-Linked [[recessive]]
-| align="left" style="background:#F5F5F5;" |
-* History of using
-** [[Sulfonamide (medicine)|Sulfa drugs]]
-** [[Antimalarial drug|Antimalarials]]
-** [[Fava bean|Fava Beans]]
-* [[Infection|Infections]]
-| align="left" style="background:#F5F5F5;" |
-* [[Back pain]]
-* [[Hemoglobinuria]]
-| align="left" style="background:#F5F5F5;" |
-* [[Back pain]]
-| align="center" style="background:#F5F5F5;" | +
-| align="center" style="background:#F5F5F5;" |Intrinsic
-| align="center" style="background:#F5F5F5;" |[[Normochromic anemia|Normochromic]]
-| align="center" style="background:#F5F5F5;" |[[Normocytic anemia|Normocytic]]
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑ but usually causes resolution within 4-7 days
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |Nl to ↑
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="left" style="background:#F5F5F5;" |
-* [[Red blood cell|RBC]] with [[Heinz bodies]]
-* Bite [[Cell (biology)|cells]]
-* Blister [[Cell (biology)|cells]]
-*
-|-
-! align="center" style="background:#DCDCDC;" |[[Pyruvate kinase deficiency]]<ref name="pmid26087744">{{cite journal |vauthors=Grace RF, Zanella A, Neufeld EJ, Morton DH, Eber S, Yaish H, Glader B |title=Erythrocyte pyruvate kinase deficiency: 2015 status report |journal=Am. J. Hematol. |volume=90 |issue=9 |pages=825–30 |date=September 2015 |pmid=26087744 |pmc=5053227 |doi=10.1002/ajh.24088 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* [[Mutation]] in the ''[[PKLR]]'' and ''[[PKM2|PKM]]'' gene
-* [[Autosomal recessive]]
-| align="left" style="background:#F5F5F5;" |
-* [[Gallstones]]
-| align="left" style="background:#F5F5F5;" |
-* [[Hydrops fetalis]]
-* [[Neonatal hyperbilirubinemia]]
-* [[Iron overload]]
-* [[Perinatal]] complications
-| align="left" style="background:#F5F5F5;" |
-* Skin [[ulcers]]
-* [[Splenomegaly]]
-| align="center" style="background:#F5F5F5;" | +
-| align="center" style="background:#F5F5F5;" | Intrinsic
-| align="center" style="background:#F5F5F5;" | [[Normochromic anemia|Normochromic]]
-| align="center" style="background:#F5F5F5;" | [[Normocytic anemia|Normocytic]]
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | −
-| align="left" style="background:#F5F5F5;" |
-* Prickle [[cells]]
-* Polychromatophilic [[erythrocytes]]
-|-
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Disease
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Genetics
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Symptoms
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Signs
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hemolysis
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Intrinsic/Extrinsic
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hb concentration
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |MCV
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |RDW
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reticulocytosis
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Haptoglobin levels
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hepcidin
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Serum iron
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Serum Tfr level
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |IBC
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Ferritin
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Transferrin saturation
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specific finding on blood smear
-|-
-! align="center" style="background:#DCDCDC;" |[[Sickle-cell disease|Sickle cell anemia]]<ref name="pmid25431087">{{cite journal |vauthors=Singh PC, Ballas SK |title=Emerging drugs for sickle cell anemia |journal=Expert Opin Emerg Drugs |volume=20 |issue=1 |pages=47–61 |date=March 2015 |pmid=25431087 |doi=10.1517/14728214.2015.985587 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* Hbs [[point mutation]] causes a single [[Amino acid|amino acid]] replacement in β chain
-| align="left" style="background:#F5F5F5;" |
-* [[High altitude]]
-* Low [[Oxygen]]
-* [[Acidosis]]
-* African-American race
-* [[Parvovirus B19]] infection
-| align="left" style="background:#F5F5F5;" |
-* Painful crisis
-** [[Dactylitis]]
-** [[Priapism]]
-** [[Acute chest syndrome]]
-** [[Avascular necrosis|Avascular Necrosis]]
-** [[Stroke]]
-* [[Autosplenectomy]]
-* [[Salmonella|Salmonella osteomyelitis]]
-| align="left" style="background:#F5F5F5;" |
-* [[Dactylitis]]
-* [[Priapism]]
-| align="center" style="background:#F5F5F5;" | +
-| align="center" style="background:#F5F5F5;" | Intrinsic
-| align="center" style="background:#F5F5F5;" | [[Normochromic anemia|Normochromic]]
-| align="center" style="background:#F5F5F5;" | [[Normocytic anemia|Normocytic]]
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | Nl or moderately ↑
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl or moderately ↑
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="left" style="background:#F5F5F5;" |
-* Increased [[erythropoiesis]]
-* [[Howell-Jolly bodies]]
-* [[Anisocytosis]]
-|-
-! align="center" style="background:#DCDCDC;" |HbC disease<ref name="pmid25335812">{{cite journal |vauthors=Lemonne N, Billaud M, Waltz X, Romana M, Hierso R, Etienne-Julan M, Connes P |title=Rheology of red blood cells in patients with HbC disease |journal=Clin. Hemorheol. Microcirc. |volume=61 |issue=4 |pages=571–7 |date=2016 |pmid=25335812 |doi=10.3233/CH-141906 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* Glutamic acid–to-lysine [[mutation]] in β-globin
-| align="left" style="background:#F5F5F5;" |
-* [[Gallstone]]
-| align="left" style="background:#F5F5F5;" |
-* [[Joint pains]]
-* Increased risk of [[Infection|infections]]
-| align="left" style="background:#F5F5F5;" |
-* [[Splenomegaly]]
-* [[Gallstone disease|Cholelithiasis]]
-* [[Avascular necrosis|Avascular necrosis of the femoral head]]
-| align="center" style="background:#F5F5F5;" | +
-| align="center" style="background:#F5F5F5;" | Intrinsic
-| align="center" style="background:#F5F5F5;" | [[Normochromic anemia|Normochromic]]
-| align="center" style="background:#F5F5F5;" | [[Normocytic anemia|Normocytic]]
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | −
-| align="left" style="background:#F5F5F5;" |
-* Hemoglobin crystals inside [[RBCs]]
-* [[Target cell|Target cells]]
-|-
-! align="center" style="background:#DCDCDC;" |[[Paroxysmal nocturnal hemoglobinuria]]<ref name="pmid1402472">{{cite journal |vauthors=Bunyaratvej A, Butthep P |title=Cytometric analysis of paroxysmal nocturnal hemoglobinuria erythrocytes |journal=J Med Assoc Thai |volume=75 Suppl 1 |issue= |pages=237–42 |date=January 1992 |pmid=1402472 |doi= |url=}}</ref><ref name="pmid25553278">{{cite journal |vauthors=Kahng J, Kim Y, Kim JO, Koh K, Lee JW, Han K |title=A novel marker for screening paroxysmal nocturnal hemoglobinuria using routine complete blood count and cell population data |journal=Ann Lab Med |volume=35 |issue=1 |pages=35–40 |date=January 2015 |pmid=25553278 |pmc=4272963 |doi=10.3343/alm.2015.35.1.35 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* [[PIGA]] gene mutations
-* Impaired  synthesis of [[GPI anchor]] for [[decay-accelerating  factor]]
-| align="left" style="background:#F5F5F5;" |
-* Associated with [[aplastic anemia]]
-* [[Thrombosis]]
-| align="left" style="background:#F5F5F5;" |
-* [[Fatigue]]
-* [[Chest pain]]
-* [[Dyspnea]] on exertion
-* [[Headache]]
-| align="left" style="background:#F5F5F5;" |
-* [[Hemolysis|Chronic hemolysis]]
-* [[Hepatomegaly]]
-* [[Ascites]]
-* [[Papilledema]]
-* Skin nodules
-| align="center" style="background:#F5F5F5;" | +
-| align="center" style="background:#F5F5F5;" | Intrinsic
-| align="center" style="background:#F5F5F5;" | [[Normochromic anemia|Normochromic]]
-| align="center" style="background:#F5F5F5;" | [[Normocytic anemia|Normocytic]]
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" | NA
-|-
-! align="center" style="background:#DCDCDC;" |[[Hereditary spherocytosis]]<ref name="pmid23664421">{{cite journal |vauthors=Da Costa L, Galimand J, Fenneteau O, Mohandas N |title=Hereditary spherocytosis, elliptocytosis, and other red cell membrane disorders |journal=Blood Rev. |volume=27 |issue=4 |pages=167–78 |date=July 2013 |pmid=23664421 |doi=10.1016/j.blre.2013.04.003 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* [[Mutations]] in [[Ankyrin]], [[Band 3]], [[Protein 4.2]], and [[spectrin]]
-| align="left" style="background:#F5F5F5;" |
-* Associated with [[parvovirus B19]]
-* [[Cholelithiasis]]
-* Megaloblastic crisis
-| align="left" style="background:#F5F5F5;" |
-* [[Aplastic crisis]]
-| align="left" style="background:#F5F5F5;" |
-* [[Splenomegaly]]
-| align="center" style="background:#F5F5F5;" | +
-| align="center" style="background:#F5F5F5;" | Intrinsic
-| align="center" style="background:#F5F5F5;" | [[Normochromic anemia|Normochromic]]
-| align="center" style="background:#F5F5F5;" | [[Normocytic anemia|Normocytic]]
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↓
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | ↑
-| align="center" style="background:#F5F5F5;" | Nl
-| align="center" style="background:#F5F5F5;" | −
-| align="left" style="background:#F5F5F5;" |
-* Small, round [[Red blood cell|RBC]]s with less surface area and no central pallor
-|-
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Disease
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Genetics
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Symptoms
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Signs
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hemolysis
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Intrinsic/Extrinsic
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hb concentration
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |MCV
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |RDW
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reticulocytosis
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Haptoglobin levels
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hepcidin
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Serum iron
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Serum Tfr level
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |IBC
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Ferritin
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Transferrin saturation
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specific finding on blood smear
 |-
 ! align="center" style="background:#DCDCDC;" |[[Microangiopathic hemolytic anemia]]<ref name="pmid26251142">{{cite journal |vauthors=Morishita E |title=[Diagnosis and treatment of microangiopathic hemolytic anemia] |language=Japanese |journal=Rinsho Ketsueki |volume=56 |issue=7 |pages=795–806 |date=July 2015 |pmid=26251142 |doi=10.11406/rinketsu.56.795 |url=}}</ref><ref name="pmid23390027">{{cite journal |vauthors=George JN, Charania RS |title=Evaluation of patients with microangiopathic hemolytic anemia and thrombocytopenia |journal=Semin. Thromb. Hemost. |volume=39 |issue=2 |pages=153–60 |date=March 2013 |pmid=23390027 |doi=10.1055/s-0032-1333538 |url=}}</ref>
@@ Line 568: / Line 128: @@
 | align="left" style="background:#F5F5F5;" |
 * [[Red blood cell|RBC]] agglutination
-|-
-! align="center" style="background:#DCDCDC;" |[[Aplastic anemia]]<ref name="pmid24424170">{{cite journal |vauthors=Dolberg OJ, Levy Y |title=Idiopathic aplastic anemia: diagnosis and classification |journal=Autoimmun Rev |volume=13 |issue=4-5 |pages=569–73 |date=2014 |pmid=24424170 |doi=10.1016/j.autrev.2014.01.014 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* Constitutive expression of Tbet
-* [[Mutation|Mutations]] in the [[perforin]] gene
-* Mutations in ''SAP'' gene
-| align="left" style="background:#F5F5F5;" |
-* Exposure to [[Radiation]]
-* Drugs like [[Benzene]], [[chloramphenicol]], [[Alkylating agent|alkylating agents]]
-* Viral infections like [[EBV]], [[HIV]], [[Hepatitis]]
-* [[Fanconi anemia]]
-* Idiopathic like [[Immune]] mediated, primary stem cell defect
-| align="left" style="background:#F5F5F5;" |
-* Symptoms based on underlying condition
-| align="left" style="background:#F5F5F5;" |
-* Short stature
-* [[Cafe-au-lait spots]]
-* Thumb defects
-* [[Radius (bone)|Radial]] defects
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |[[Normochromic anemia|Normochromic]]
-| align="center" style="background:#F5F5F5;" |[[Normocytic anemia|Normocytic]]
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="left" style="background:#F5F5F5;" |
-* [[Pancytopenia]]
-* Fatty [[Infiltration (medical)|infiltration]]
-|-
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Disease
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Genetics
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Symptoms
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Signs
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hemolysis
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Intrinsic/Extrinsic
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hb concentration
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |MCV
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |RDW
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reticulocytosis
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Haptoglobin levels
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hepcidin
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Serum iron
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Serum Tfr level
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |IBC
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Ferritin
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Transferrin saturation
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specific finding on blood smear
-|-
-! align="center" style="background:#DCDCDC;" |[[Folate deficiency]]<ref name="pmid25663227">{{cite journal |vauthors=Koike H, Takahashi M, Ohyama K, Hashimoto R, Kawagashira Y, Iijima M, Katsuno M, Doi H, Tanaka F, Sobue G |title=Clinicopathologic features of folate-deficiency neuropathy |journal=Neurology |volume=84 |issue=10 |pages=1026–33 |date=March 2015 |pmid=25663227 |doi=10.1212/WNL.0000000000001343 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* Impaired [[DNA]] synthesis
-| align="left" style="background:#F5F5F5;" |
-* [[Long-term effects of alcohol|Alcohol consumption]]
-* History of using drugs like [[methotrexate]], [[trimethoprim]], and [[phenytoin]]
-* Low socioeconomic groups with poor nutrition
-* Older people
-* [[Pregnancy|Pregnant]] and [[lactating]] women
-| align="left" style="background:#F5F5F5;" |
-* No neurological symptoms vs [[Vitamin B12 deficiency|B12 deficiency]]
-* [[Odinophagia|Odynophagia]]
-* [[Stomatitis|Angular stomatitis]]
-| align="left" style="background:#F5F5F5;" |
-* [[Glossitis]]
-* Signs of [[Congestive heart failure|heart failure]]
-* [[Anencephaly]] and [[spina bifida]]
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |Anisochromic
-| align="center" style="background:#F5F5F5;" |[[Macrocytic anemia|Macrocytic]]
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="left" style="background:#F5F5F5;" |
-* [[Macrocytosis|RBC macrocytosis]]
-* [[Neutrophil|Hypersegmented neutrophils]]
-* [[Pancytopenia]] in severe cases
-*
-|-
-! align="center" style="background:#DCDCDC;" |[[Vitamin B12 deficiency]]<ref name="pmid25189324">{{cite journal |vauthors=Hunt A, Harrington D, Robinson S |title=Vitamin B12 deficiency |journal=BMJ |volume=349 |issue= |pages=g5226 |date=September 2014 |pmid=25189324 |doi= |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* Impaired [[DNA synthesis]]
-| align="left" style="background:#F5F5F5;" |
-* [[Pernicious anemia]]
-* [[Crohn's disease]]
-* [[Gastrectomy]]
-* [[Vegan|Veganism]]
-* [[Diphyllobothrium|Diphyllobothrium latum]] infection
-| align="left" style="background:#F5F5F5;" |
-* [[Psychosis]]
-* [[Insomnia]]
-* [[Depression]]
-* Cognitive slowing
-* [[Restless leg syndrome]]
-| align="left" style="background:#F5F5F5;" |
-* Neurological deficit
-* [[Myelopathy]]
-* [[Memory loss]] with reduced attention span
-* [[Nystagmus]]
-* Positive [[Romberg test|romberg sign]]
-* Positive [[Lhermitte's sign]]
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |Anisochromic
-| align="center" style="background:#F5F5F5;" |[[Macrocytic anemia|Macrocytic]]
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="left" style="background:#F5F5F5;" |
-* [[Senile]] [[neutrophil]]
-* [[Anisocytosis]]
-* [[Ovalocytosis|Ovalocytes]]
-|-
-! align="center" style="background:#DCDCDC;" |[[Orotic aciduria]]<ref name="pmid25757096">{{cite journal |vauthors=Grohmann K, Lauffer H, Lauenstein P, Hoffmann GF, Seidlitz G |title=Hereditary orotic aciduria with epilepsy and without megaloblastic anemia |journal=Neuropediatrics |volume=46 |issue=2 |pages=123–5 |date=April 2015 |pmid=25757096 |doi=10.1055/s-0035-1547341 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* [[Autosomal recessive]]
-* Deficiency of enzyme [[Uridine monophosphate synthetase|UMPS]]
-| align="left" style="background:#F5F5F5;" |
-* Episodic [[Nausea and vomiting|vomiting]]
-* [[Rhabdomyolysis]]
-| align="left" style="background:#F5F5F5;" |
-* [[Coma]]
-* [[Gastrointestinal tract|Gastrointestinal]] manifestation
-| align="left" style="background:#F5F5F5;" |
-* Neurological manifestation
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |Anisochromic
-| align="center" style="background:#F5F5F5;" |[[Macrocytic anemia|Macrocytic]]
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |NA
-|-
-! align="center" style="background:#DCDCDC;" |[[Fanconi anemia]]<ref name="pmid25455269">{{cite journal |vauthors=Alter BP |title=Fanconi anemia and the development of leukemia |journal=Best Pract Res Clin Haematol |volume=27 |issue=3-4 |pages=214–21 |date=2014 |pmid=25455269 |pmc=4254647 |doi=10.1016/j.beha.2014.10.002 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |
-* [[Autosomal recessive]]
-* [[X-linked recessive]]
-| align="left" style="background:#F5F5F5;" |
-* History of [[anemia]] at age 16
-| align="left" style="background:#F5F5F5;" |
-* [[Hypopigmentation]]
-* [[Café au lait spot|Cafe-au-lait patches]]
-* Radial ray anomaly
-| align="left" style="background:#F5F5F5;" |
-* Significant for bilateral short thumbs
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |Anisochromic
-| align="center" style="background:#F5F5F5;" |[[Macrocytic anemia|Macrocytic]]
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="left" style="background:#F5F5F5;" |
-* Nl appearing [[White blood cells|WBC]], [[Red blood cell|RBC]] and [[Platelet|Platelets]]
-* But the number is greatly reduced
-|-
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Disease
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Genetics
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Symptoms
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Signs
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hemolysis
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Intrinsic/Extrinsic
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hb concentration
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |MCV
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |RDW
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reticulocytosis
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Haptoglobin levels
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hepcidin
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Serum iron
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Serum Tfr level
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |IBC
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Ferritin
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Transferrin saturation
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specific finding on blood smear
-|-
-! align="center" style="background:#DCDCDC;" |[[Diamond-Blackfan anemia]]<ref name="pmid24665981">{{cite journal |vauthors=Vlachos A, Blanc L, Lipton JM |title=Diamond Blackfan anemia: a model for the translational approach to understanding human disease |journal=Expert Rev Hematol |volume=7 |issue=3 |pages=359–72 |date=June 2014 |pmid=24665981 |doi=10.1586/17474086.2014.897923 |url=}}</ref>
-| align="left" style="background:#F5F5F5;" |Mutations in:
-* ''RPL5''
-* ''RPL11''
-* ''RPL35A''
-* ''RPS7''
-* ''RPS10''
-* ''RPS17''
-* ''RPS19''
-* ''RPS24''
-* ''RPS26''
-| align="left" style="background:#F5F5F5;" |
-* Associated with [[myelodysplastic syndrome]]
-* Increased risk of [[AML]]
-| align="left" style="background:#F5F5F5;" |
-* [[Pale skin]]
-* Sleepiness
-* [[Murmur|Heart murmurs]]
-| align="left" style="background:#F5F5F5;" |
-* Triphalangeal  thumbs
-* [[Short stature]]
-* [[Microcephaly]]
-* [[Hypertelorism]]
-* [[Ptosis]]
-* [[Micrognathia]]
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |Anisochromic
-| align="center" style="background:#F5F5F5;" |[[Macrocytic anemia|Macrocytic]]
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |NA
 |-
 ! align="center" style="background:#DCDCDC;" |[[Infection|Infections]]<ref name="pmid23324217">{{cite journal |vauthors=Bustinduy AL, Parraga IM, Thomas CL, Mungai PL, Mutuku F, Muchiri EM, Kitron U, King CH |title=Impact of polyparasitic infections on anemia and undernutrition among Kenyan children living in a Schistosoma haematobium-endemic area |journal=Am. J. Trop. Med. Hyg. |volume=88 |issue=3 |pages=433–40 |date=March 2013 |pmid=23324217 |pmc=3592521 |doi=10.4269/ajtmh.12-0552 |url=}}</ref>
@@ Line 843: / Line 156: @@
 * [[Trophozoite]]
 * Maltese crosses
-|-
-! align="center" style="background:#DCDCDC;" |[[Chronic renal failure|Chronic kidney disease]]<ref name="pmid26030647">{{cite journal |vauthors=Drawz P, Rahman M |title=Chronic kidney disease |journal=Ann. Intern. Med. |volume=162 |issue=11 |pages=ITC1–16 |date=June 2015 |pmid=26030647 |doi=10.7326/AITC201506020 |url=}}</ref>
-| align="center" style="background:#F5F5F5;" |−
-| align="left" style="background:#F5F5F5;" |
-* [[Pericarditis]]
-* [[Encephalopathy]]
-* [[Incontinence|Rectal incontinence]]
-* Decreased [[libido]]
-* [[Restless legs syndrome|Restless leg syndrome]]
-| align="left" style="background:#F5F5F5;" |
-* [[Polyuria]]
-* [[Hematuria]]
-* [[Edema]]
-| align="left" style="background:#F5F5F5;" |
-* [[Hypertension]]
-| align="center" style="background:#F5F5F5;" | −
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |[[Normochromic anemia|Normochromic]]
-| align="center" style="background:#F5F5F5;" |[[Normocytic anemia|Normocytic]]
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |Nl/↑
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |Nl
-|-
-! align="center" style="background:#DCDCDC;" |[[Hepato-biliary diseases|Liver disease]]<ref name="pmid23953338">{{cite journal |vauthors=Marks PW |title=Hematologic manifestations of liver disease |journal=Semin. Hematol. |volume=50 |issue=3 |pages=216–21 |date=July 2013 |pmid=23953338 |doi=10.1053/j.seminhematol.2013.06.003 |url=}}</ref>
-| align="center" style="background:#F5F5F5;" |−
-| align="left" style="background:#F5F5F5;" |
-* [[Hepatitis]]
-* Binge drinking
-* Gall bladder disease
-| align="left" style="background:#F5F5F5;" |
-* [[Jaundice]]
-* [[Abdominal pain]]
-* [[Itchy skin]]
-| align="left" style="background:#F5F5F5;" |
-* [[Ascites]]
-* Right upper quadrant pain
-* [[Hepatomegaly]]
-* [[Edema|Swelling]] in the legs
-* [[Ankle swelling]]
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |Anisochromic
-| align="center" style="background:#F5F5F5;" |[[Macrocytic anemia|Macrocytic]]
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="left" style="background:#F5F5F5;" |
-* [[Macrocyte|Round macrocytes]]
-* [[Macrocyte|Target macrocytes]]
-|-
-! align="center" style="background:#DCDCDC;" |[[Alcoholism]]<ref name="pmid24588059">{{cite journal |vauthors=Yokoyama A, Yokoyama T, Brooks PJ, Mizukami T, Matsui T, Kimura M, Matsushita S, Higuchi S, Maruyama K |title=Macrocytosis, macrocytic anemia, and genetic polymorphisms of alcohol dehydrogenase-1B and aldehyde dehydrogenase-2 in Japanese alcoholic men |journal=Alcohol. Clin. Exp. Res. |volume=38 |issue=5 |pages=1237–46 |date=May 2014 |pmid=24588059 |doi=10.1111/acer.12372 |url=}}</ref>
-| align="center" style="background:#F5F5F5;" |−
-| align="left" style="background:#F5F5F5;" |
-* History of increased [[Effects of alcohol on the body|alcohol intake]]
-* [[Folic acid deficiency]]
-| align="left" style="background:#F5F5F5;" |
-* [[Memory impairment]]
-* [[Nausea]]
-* [[Sweating]]
-| align="left" style="background:#F5F5F5;" |
-* Truncal [[obesity]]
-* [[Asterixis]]
-* [[Encephalopathy]]
-* [[Spider angiomas]]
-* [[Hematemesis]]
-* [[Gynecomastia]]
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |−
-| align="center" style="background:#F5F5F5;" |Anisochromic
-| align="center" style="background:#F5F5F5;" |[[Macrocytic anemia|Macrocytic]]
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |Nl
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↓
-| align="center" style="background:#F5F5F5;" |↑
-| align="center" style="background:#F5F5F5;" |↑
-| align="left" style="background:#F5F5F5;" |
-* [[Macrocyte|Oval macrocytes]]
-* [[Neutrophil|Hypersegmented neutrophils]]
 |-
 ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Disease

Anemia with extrinsic hemolysis: Difference between revisions

Latest revision as of 17:08, 16 October 2018

Overview

Differentiating Anemia with extrinsic hemolysis from Other Diseases

References

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