RT Book, Section
A1 Lichtman, Marshall A.
A1 Kaushansky, Kenneth
A1 Prchal, Josef T.
A1 Levi, Marcel M.
A1 Burns, Linda J.
A1 Armitage, James O.
SR Print(0)
ID 1133362597
T1 Anemia Resulting from Other Nutritional Deficiencies
T2 Williams Manual of Hematology, 9e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259642470
LK hemonc.mhmedical.com/content.aspx?aid=1133362597
RD 2024/04/19
AB This  type  of  anemia  is  prevalent  in  school  children  in  several  underdeveloped  African  countries  (eg,  Malawi).Anemia  is  characterized  by  reduced  mean  (red)  cell  volume  (MCV),  mean  (red)  cell  hemoglobin  concentration,  and  anisocytosis  and  poikilocytosis.Unlike  iron  deficiency,  but  similar  to  the  anemia  of  chronic  disease,  serum  iron  concentration  is  decreased,  serum  total  iron-binding  capacity  is  normal  or  low,  and  iron  stores,  reflected  in  serum  ferritin  levels,  are  increased.  The  anemia  fails  to  respond  to  treatment  with  medicinal  iron.The  condition  responds  to  vitamin  A  repletion.Coupling  vitamin  A  with  iron  administration  may  lead  to  a  faster  response  because  of  the  evidence  that  vitamin  A  deficiency  impairs  iron  utilization.