Common anemias: A practical guide to diagnosis and management
1983
Stuckey, W.J.
A diagnostic approach is offered for the effective management of the common microcytic anemias (including hypoproliferative disorders) and hypoplastic states. Aspects of these 2 common categories of anemia found in the elderly are described. A hypoproliferative condition of the marrow (associated with chronic disorders) is reflected in gastrointestinal blood loss. Hypoplasia of the marrow (often caused by ingested drugs) induces a normochromic, normoceptic anemia. Effective therapy depends on correctly identifying the specific underlying pathology. Patient history data, physical and clinical hematologic examinations, and bone marrow analysis can usually provide the correct diagnosis. The investigative approach described also can aid diagnosis of the less common causes of elderly anemia (e.g., folic acid and vitamin B12 deficiencies, drug-induced hemolytic anemia, hereditary spherocytosis, etc.). (wz)
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