11-07-2006, 01:18 AM
yes
A
This man has a microcytic anemia, which is typi-
cal for iron deficiency. At his age, bleeding from an occult
malignancy should be strongly suspected as the cause of
iron deficiency. An autoimmune hemolytic anemia should
appear as a normocytic anemia or with a slightly increased
MCV with pronounced reticulocytosis. Thalassemias may
result in a microcytosis, but /3-thalassemia major causes
severe anemia soon after birth, and survival to the age of
73 years is unlikely. Macrocytosis should accompany a
history of chronic alcoholism, probably because of poor
diet and folate deficiency. B12 deficiency also results in a
macrocytic anemia.
A
This man has a microcytic anemia, which is typi-
cal for iron deficiency. At his age, bleeding from an occult
malignancy should be strongly suspected as the cause of
iron deficiency. An autoimmune hemolytic anemia should
appear as a normocytic anemia or with a slightly increased
MCV with pronounced reticulocytosis. Thalassemias may
result in a microcytosis, but /3-thalassemia major causes
severe anemia soon after birth, and survival to the age of
73 years is unlikely. Macrocytosis should accompany a
history of chronic alcoholism, probably because of poor
diet and folate deficiency. B12 deficiency also results in a
macrocytic anemia.