Sideroblastic anemia physical examination

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Physical Examination

Appearance of the Patient

• Patients with sideroblastic anemia usually appear pale
• Growth retardation in children

Vital Signs

• Hypothermia

Skin

• Photosensitivity (porphyria)
• Petechiae (myelodysplastic syndrome)

HEENT

• HEENT examination of patients with sideroblastic anemia is usually normal except
• Oral - Lead line on teeth margins
• Eyes - Optic atrophy (associated with DIDMOAD syndrome)

Neck

• Neck examination of patients with sideroblastic anemia is usually normal.

Lungs

• Pulmonary examination of patients with sideroblastic anemia is usually normal except
• Shortness of breath

Abdomen

Splenomegaly

Back

• Back examination of patients with sideroblastic anemia is usually normal.

Genitourinary

• Genitourinary examination of patients with sideroblastic anemia is usually normal except
• Pink staining of diapers in childrens from porphyrins in urine

Neuromuscular

• Ataxia,
• Hyporeflexia
• Incoordination

Extremities

• Extremities examination of patients with sideroblastic anemia is usually normal.