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Anemia
Sreenu Thalla
Assistant Professor
Department of Pharmacology
• Anemia is a condition in which the body does not have enough
healthy red blood cells
Iron Deficiency Anemia
Sources, absorption and metabolism:
• Red meat and liver, bread, eggs and green vegetables, mainly in ferric
form.
• Daily minimum requirement 10-12mg of which about 1mg is
absorbed.
• In the stomach the iron is released from its complex form and is
reduced to ferrous form (action of gastrin and HCl).
• Iron absorption takes place in the duodenum and proximal jejunum.
• Iron absorption is under regulatory system (Apoferritin-Transferrin
system) present in the intestinal mucosa and regulates absorption of
the iron according to body requirement.
Factors enhancing iron absorption
 Pregnancy
 Iron deficiency anemia
 Increased erythropoiesis
 Vitamin C.
Factors decrease iron absorption
• Excess phosphate, tannates, phytate in diet
• Iron overload haemochromatosis
• Decreased erythropoies eg a plastic anaemia
• Malabsorption syndrome
• Decreased HCI atrophic gastritis.
• Conditioned deficiency (normal demand and intake but there are
defective absorption and utilization) Not common:
 Ferric form cause
 Decreased HCL
 Iron binder: phosphate, phytate, tannates
 Malobsorption syndrome.
Anemia, Types of anemia in Physiology of Human
Anemia, Types of anemia in Physiology of Human
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Anemia, Types of anemia in Physiology of Human

  • 2. • Anemia is a condition in which the body does not have enough healthy red blood cells
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9. Iron Deficiency Anemia Sources, absorption and metabolism: • Red meat and liver, bread, eggs and green vegetables, mainly in ferric form. • Daily minimum requirement 10-12mg of which about 1mg is absorbed. • In the stomach the iron is released from its complex form and is reduced to ferrous form (action of gastrin and HCl). • Iron absorption takes place in the duodenum and proximal jejunum. • Iron absorption is under regulatory system (Apoferritin-Transferrin system) present in the intestinal mucosa and regulates absorption of the iron according to body requirement.
  • 10. Factors enhancing iron absorption  Pregnancy  Iron deficiency anemia  Increased erythropoiesis  Vitamin C. Factors decrease iron absorption • Excess phosphate, tannates, phytate in diet • Iron overload haemochromatosis • Decreased erythropoies eg a plastic anaemia • Malabsorption syndrome • Decreased HCI atrophic gastritis.
  • 11. • Conditioned deficiency (normal demand and intake but there are defective absorption and utilization) Not common:  Ferric form cause  Decreased HCL  Iron binder: phosphate, phytate, tannates  Malobsorption syndrome.