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DISORDERS OF BLOOD
Blood disorders can affect any of the three main components of blood:
Red blood cells, which carry oxygen to the body's tissues.
White blood cells, which fight infections.
Platelets, which help blood to clot.
Blood disorders can also affect the liquid portion of blood, called plasma.
Blood Disorders Affecting Red Blood
Cells
Anaemia:
• Anaemia results from a lack of red blood cells or
dysfunctional red blood cells in the body.
• This leads to reduced oxygen flow to the body's
organs.
• Lower than normal haemoglobin levels also
indicates anaemia.
• The normal haemoglobin range is generally
defined as
13 to 16 g/dL of blood for men
11 to 15 g/dL for women
SYMPTOMS
• Iron-deficiency anaemia:
Iron is necessary for the body to make red blood cells. Low iron intake and loss of blood
due to damage to blood vessels are the most common causes of iron-deficiency anaemia.
It may also be caused by blood loss from the GI tract because of ulcers or cancer.
Treatment includes iron pills, or rarely, blood transfusion.
• Thalassemia:
This is a genetic form of anaemia that mostly affects people of Mediterranean heritage.
Most people have no symptoms and require no treatment. Others may need regular
blood transfusions to relieve anaemia symptoms.
• Anaemia of chronic disease:
People with chronic kidney disease or other chronic diseases tend to develop
anaemia.
Anaemia of chronic disease does not usually require treatment. Injections of a
synthetic hormone, to stimulate the production of blood cells or blood transfusions may be
necessary in some people with this form of anaemia.
• Aplastic anaemia:
In people with aplastic anaemia, the bone marrow does not produce enough
blood cells, including red blood cells.
This can be caused by a host of conditions, including hepatitis, Epstein-Barr, or
HIV -- to the side effect of a drug, to chemotherapy medications, to pregnancy.
Medications, blood transfusions, and even a bone marrow transplant may be
required to treat aplastic anaemia
• Autoimmune haemolytic anaemia:
In people with this condition, an overactive immune system
destroys the body's own red blood cells, causing anaemia.
Medicines that suppress the immune system, such as prednisone,
may be required to stop the process.
• Pernicious anaemia (B12 deficiency):
A condition that prevents the body from absorbing enough
B12 in the diet.
This can be caused by a weakened stomach lining or an
autoimmune condition.
Besides anaemia, nerve damage (neuropathy) can eventually
result. High doses of B12 prevent long-term problems.
• Sickle cell anaemia:
A genetic condition that affects mostly people whose families have
come from Africa, South or Central America, India, Saudi Arabia, and
Mediterranean countries that include Turkey, Greece, and Italy.
In sickle cell anaemia, the red blood cells are sticky and stiff. They can
block blood flow. Severe pain and organ damage can occur.
Blood Disorders Affecting White Blood Cells
• Lymphoma:
 A form of blood cancer that develops in the lymph system.
 In lymphoma, a white blood cell becomes malignant, multiplying and spreading abnormally.
 Hodgkin's lymphoma and non-Hodgkin's lymphoma are the two major groups of lymphoma.
 Treatment with chemotherapy and/or radiation can often extend life with lymphoma, and
sometimes cure it.
• Leukemia:
 A form of blood cancer in which a white blood cell becomes malignant and multiplies inside bone
marrow.
 Leukemia may be acute (rapid and severe) or chronic (slowly progressing).
 Chemotherapy and/or stem cell transplantation (bone marrow transplant) can be used to treat
leukemia.
• Multiple myeloma:
 A blood cancer in which a white blood cell called a plasma cell becomes malignant.
 The plasma cells multiply and release damaging substances that eventually cause organ damage.
 Multiple myeloma has no cure, but stem cell transplant and/or chemotherapy can allow many
people to live for years with the condition.
• Myelodysplastic syndrome :
 A family of blood cancers that affect the bone marrow.
 Myelodysplastic syndrome often progresses very slowly, but may suddenly transform into a severe
leukemia.
 Treatments may include blood transfusions, chemotherapy and stem cell transplant.
Blood Disorders Affecting Platelets
• Thrombocytopenia :
 A low number of platelets in the blood; numerous conditions cause
thrombocytopenia, but most do not result in abnormal bleeding.
• Idiopathic thrombocytopenic purpura:
 A condition causing a persistently low number of platelets in the blood, due to
an unknown cause; usually, there are no symptoms, yet small red spots on the
skin, or abnormal bleeding can result.
• Heparin-induced thrombocytopenia:
 A low platelet count caused by a reaction against heparin, a blood thinner given
to many hospitalized people to prevent blood clots
• Essential thrombocytosis (primary thrombocythemia):
 The body produces too many platelets, due to an unknown cause; the platelets
do not work properly, resulting in excessive clotting, bleeding, or both.

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Blood disorders/B.pharmacy 2 semester

  • 1. DISORDERS OF BLOOD Blood disorders can affect any of the three main components of blood: Red blood cells, which carry oxygen to the body's tissues. White blood cells, which fight infections. Platelets, which help blood to clot. Blood disorders can also affect the liquid portion of blood, called plasma.
  • 2. Blood Disorders Affecting Red Blood Cells Anaemia: • Anaemia results from a lack of red blood cells or dysfunctional red blood cells in the body. • This leads to reduced oxygen flow to the body's organs. • Lower than normal haemoglobin levels also indicates anaemia. • The normal haemoglobin range is generally defined as 13 to 16 g/dL of blood for men 11 to 15 g/dL for women
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  • 8. • Iron-deficiency anaemia: Iron is necessary for the body to make red blood cells. Low iron intake and loss of blood due to damage to blood vessels are the most common causes of iron-deficiency anaemia. It may also be caused by blood loss from the GI tract because of ulcers or cancer. Treatment includes iron pills, or rarely, blood transfusion. • Thalassemia: This is a genetic form of anaemia that mostly affects people of Mediterranean heritage. Most people have no symptoms and require no treatment. Others may need regular blood transfusions to relieve anaemia symptoms. • Anaemia of chronic disease: People with chronic kidney disease or other chronic diseases tend to develop anaemia. Anaemia of chronic disease does not usually require treatment. Injections of a synthetic hormone, to stimulate the production of blood cells or blood transfusions may be necessary in some people with this form of anaemia. • Aplastic anaemia: In people with aplastic anaemia, the bone marrow does not produce enough blood cells, including red blood cells. This can be caused by a host of conditions, including hepatitis, Epstein-Barr, or HIV -- to the side effect of a drug, to chemotherapy medications, to pregnancy. Medications, blood transfusions, and even a bone marrow transplant may be required to treat aplastic anaemia
  • 9. • Autoimmune haemolytic anaemia: In people with this condition, an overactive immune system destroys the body's own red blood cells, causing anaemia. Medicines that suppress the immune system, such as prednisone, may be required to stop the process. • Pernicious anaemia (B12 deficiency): A condition that prevents the body from absorbing enough B12 in the diet. This can be caused by a weakened stomach lining or an autoimmune condition. Besides anaemia, nerve damage (neuropathy) can eventually result. High doses of B12 prevent long-term problems. • Sickle cell anaemia: A genetic condition that affects mostly people whose families have come from Africa, South or Central America, India, Saudi Arabia, and Mediterranean countries that include Turkey, Greece, and Italy. In sickle cell anaemia, the red blood cells are sticky and stiff. They can block blood flow. Severe pain and organ damage can occur.
  • 10. Blood Disorders Affecting White Blood Cells • Lymphoma:  A form of blood cancer that develops in the lymph system.  In lymphoma, a white blood cell becomes malignant, multiplying and spreading abnormally.  Hodgkin's lymphoma and non-Hodgkin's lymphoma are the two major groups of lymphoma.  Treatment with chemotherapy and/or radiation can often extend life with lymphoma, and sometimes cure it. • Leukemia:  A form of blood cancer in which a white blood cell becomes malignant and multiplies inside bone marrow.  Leukemia may be acute (rapid and severe) or chronic (slowly progressing).  Chemotherapy and/or stem cell transplantation (bone marrow transplant) can be used to treat leukemia. • Multiple myeloma:  A blood cancer in which a white blood cell called a plasma cell becomes malignant.  The plasma cells multiply and release damaging substances that eventually cause organ damage.  Multiple myeloma has no cure, but stem cell transplant and/or chemotherapy can allow many people to live for years with the condition. • Myelodysplastic syndrome :  A family of blood cancers that affect the bone marrow.  Myelodysplastic syndrome often progresses very slowly, but may suddenly transform into a severe leukemia.  Treatments may include blood transfusions, chemotherapy and stem cell transplant.
  • 11. Blood Disorders Affecting Platelets • Thrombocytopenia :  A low number of platelets in the blood; numerous conditions cause thrombocytopenia, but most do not result in abnormal bleeding. • Idiopathic thrombocytopenic purpura:  A condition causing a persistently low number of platelets in the blood, due to an unknown cause; usually, there are no symptoms, yet small red spots on the skin, or abnormal bleeding can result. • Heparin-induced thrombocytopenia:  A low platelet count caused by a reaction against heparin, a blood thinner given to many hospitalized people to prevent blood clots • Essential thrombocytosis (primary thrombocythemia):  The body produces too many platelets, due to an unknown cause; the platelets do not work properly, resulting in excessive clotting, bleeding, or both.