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Microcytic Anemia

CLINICAL DIAGNOSTIC MANUAL



Microcytic anemia is a type of anemia characterized by the presence of red blood cells that are smaller than normal (microcytes) and have reduced hemoglobin content.


This condition is usually caused by issues in hemoglobin synthesis, leading to insufficient red blood cell production or premature destruction.


The most common causes of microcytic anemia include iron deficiency, thalassemia, and sideroblastic anemia. Identifying the underlying cause is crucial for proper and effective treatment.


Pathology

Clinical Symptoms and Signs

Suspected Diagnosis

Confirmatory Diagnosis

Iron deficiency anemia

Fatigue, weakness, pallor, shortness of breath, palpitations, dizziness, pica

History of poor iron intake, chronic bleeding

Complete blood count (CBC), low MCV, iron and ferritin levels, TIBC

Thalassemia

Fatigue, weakness, pallor, shortness of breath, splenomegaly, jaundice

Family history of thalassemia, symptoms from childhood

CBC, hemoglobin electrophoresis, genetic studies

Sideroblastic anemia

Fatigue, weakness, pallor, shortness of breath, palpitations, dizziness

History of chronic symptoms, toxin exposure

CBC, peripheral blood smear, bone marrow tests, elevated iron levels


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