BOF 16
Differential diagnosis of Iron deficiency anaemia
……all are true except:
1-aluminuim toxicity
2-beta thalassaemia syndromes
3-alpha thalassaemia syndromes
4- Lead poisoning
5-aplastic anaemia
Answer: 5
1-important in dialysis patients and causes resistance
to Erythropoietin therapy
2-especially the minor trait
3-especially the minor trait, a clue that the patient
is an Asian one with normal haemoglobin electrophoresis and normal ferritin
4-and sideroblastic anaemia: clue is a dimorphic blood
picture
Remember: Microcytosis and hypochromia have a
relatively narrow differential diagnosis so you have to know it because it is
a common clinical problem.
Aplastic anaemia causes either a normocytic or
macrocytic anaemia
Revision Tip
Revise iron
deficiency anaemia KEYS to SUCCESS in Medicine
page 368-372