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Hemolytic
anemia
Dr . T.Arivazhagan
Department of
pathology
Introduction
• Hemolytic anemias are the anemias in which there is increased red
cell destruction.
• Anemia develops due to inability of the bone marrow to
compensate for the degree of destruction.
• Normal life span 120 days
• In hemolytic anemia become as low as 15 days
• If compensatory marrow regeneration is adequate patient will not
manifest the anemia.
Red cell destruction
1. Extra vascular
• Spleen – 80 -90%
2. Intravascular
• Destruction of RBC’s in the blood vessels itself
Clinical features
1. Pallor
2. Jaundice
3. Splenomegaly
4. Gall stone
5. Skeletal abnormalities
6. Ulcers
Peripheral smear
1. Polychromatophilic
2. Nucleated RBCS
3. Spherocytes
4. Sickle cells
5. Target cells
6. schistocytes
Bone marrow
1. Erythroid hyperplasia
2. Reticulocytosis

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