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Anaemia
Dr. Shilpasree Saha (PT)
 Anaemia is a condition where either
the RBC count or the Hb
concentration , or both are deficient.
 Anemia is not a diagnosis, but a
presentation of an underlying
condition.
Normal range of Hemoglobin
(Hgb)
 13.5 to 18.0 g/dL in men
 12.0 to 15.0 g/dL in women
 11.0 to 16.0 g/dL in children
 Most patients experience some
symptoms related to anemia when the
hemoglobin drops below 7.0 g/dL.
Normal range of RBCs
 A normal RBC count:
 Men – 4.7 to 6.1 million cells per
microlitre (cells/mcL) women – 4.2 to
5.4 million cells/mcL
 RBC are produced in the bone marrow
and released into circulation.
Approximately 1% of RBC are
removed from circulation per day.
Imbalance in production to removal or
destruction of RBC leads to anemia.
Classification of anaemia
Anaemia
Anaemia due to decrease
RBC
Anaemia due to chronic
blood loss
Terminologies
 Anisocytosis: Even in normal blood
film, some variations between the size
of the RBCs do occur. But if the
variation is too great , then the
condition is called anisocytosis.
 Hypochromia: Pale RBCs due to less
Hb.
 Target cells:
Normally the central
part of RBC does
not take stain, or
stains poorly, while
the peripheral part
takes stain so that
the central part
looks vaculated .
But under some
abnormal
conditions, the
central part takes
strain but
peripheral part
stains poorly. Such
cells are target
cells.
 Burr cells: RBCs with spiky projections,
characteristics of hemolytic anaemia.
 Spherocyte: Rounded RBCs that are
smaller in diameter than normal RBCs, lack
central pallor, and have a denser
(hyperchromic) staining quality.
B12- folate deficiency
anaemia:
 Vitamin B12-folate deficiency anaemia
occurs when a lack of vitamin B12 or
folate causes the body to produce
abnormally large red blood cells that
cannot function properly.
Iron deficiency anaemia
 It occurs typically in chronic bleeders,
e.g.- menorrhagic women, suffers
from pile, hookworm infestation and
whose diet contain poor amount of
iron.
Hemolytic anaemia
 Hemolytic anemia is defined by the
premature destruction of red blood
cells due to causes outside the RBCs
(hypersensitivity against some drugs,
malaria, snake bites), or causes
residing RBCs (sperocytosis, sickle
cell anaemia).
Bone marrow aplasia
 Also called hypoplasia, may be due to
the action of known destructive agents
( Xray irradiation), or idiopathic.
Sign
 Easy fatigue and loss of energy
 Unusually rapid heart beat, particularly
with exercise
 Shortness of breath and headache,
particularly with exercise
 Difficulty concentrating
 Dizziness
 Pale skin
 Leg cramps
 Insomnia
Symptoms
 Brittle nails
 Koilonychia (spoon shaped nails)
 Angular stomatitis, causes swollen,
red patches in the corners on the
outside of your lips
 Brittle hair
 Dysphagia and
 Glossitis-inflammation of tongue
Polycythemia
 Hb concentration and RBC
concentration both risein this
condition.
 Types: Primary and Secondary

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Anaemia

  • 2.  Anaemia is a condition where either the RBC count or the Hb concentration , or both are deficient.  Anemia is not a diagnosis, but a presentation of an underlying condition.
  • 3. Normal range of Hemoglobin (Hgb)  13.5 to 18.0 g/dL in men  12.0 to 15.0 g/dL in women  11.0 to 16.0 g/dL in children  Most patients experience some symptoms related to anemia when the hemoglobin drops below 7.0 g/dL.
  • 4. Normal range of RBCs  A normal RBC count:  Men – 4.7 to 6.1 million cells per microlitre (cells/mcL) women – 4.2 to 5.4 million cells/mcL
  • 5.  RBC are produced in the bone marrow and released into circulation. Approximately 1% of RBC are removed from circulation per day. Imbalance in production to removal or destruction of RBC leads to anemia.
  • 6. Classification of anaemia Anaemia Anaemia due to decrease RBC Anaemia due to chronic blood loss
  • 7.
  • 8. Terminologies  Anisocytosis: Even in normal blood film, some variations between the size of the RBCs do occur. But if the variation is too great , then the condition is called anisocytosis.  Hypochromia: Pale RBCs due to less Hb.
  • 9.  Target cells: Normally the central part of RBC does not take stain, or stains poorly, while the peripheral part takes stain so that the central part looks vaculated . But under some abnormal conditions, the central part takes strain but peripheral part stains poorly. Such cells are target cells.
  • 10.  Burr cells: RBCs with spiky projections, characteristics of hemolytic anaemia.
  • 11.  Spherocyte: Rounded RBCs that are smaller in diameter than normal RBCs, lack central pallor, and have a denser (hyperchromic) staining quality.
  • 12. B12- folate deficiency anaemia:  Vitamin B12-folate deficiency anaemia occurs when a lack of vitamin B12 or folate causes the body to produce abnormally large red blood cells that cannot function properly.
  • 13. Iron deficiency anaemia  It occurs typically in chronic bleeders, e.g.- menorrhagic women, suffers from pile, hookworm infestation and whose diet contain poor amount of iron.
  • 14. Hemolytic anaemia  Hemolytic anemia is defined by the premature destruction of red blood cells due to causes outside the RBCs (hypersensitivity against some drugs, malaria, snake bites), or causes residing RBCs (sperocytosis, sickle cell anaemia).
  • 15. Bone marrow aplasia  Also called hypoplasia, may be due to the action of known destructive agents ( Xray irradiation), or idiopathic.
  • 16. Sign  Easy fatigue and loss of energy  Unusually rapid heart beat, particularly with exercise  Shortness of breath and headache, particularly with exercise  Difficulty concentrating  Dizziness  Pale skin  Leg cramps  Insomnia
  • 17. Symptoms  Brittle nails  Koilonychia (spoon shaped nails)  Angular stomatitis, causes swollen, red patches in the corners on the outside of your lips  Brittle hair  Dysphagia and  Glossitis-inflammation of tongue
  • 18.
  • 19. Polycythemia  Hb concentration and RBC concentration both risein this condition.  Types: Primary and Secondary