Among those with anemia, normocytic normochromic (53%) was the most common type of anemia, followed by
microcytic (30%) and macrocytic anemia (27%).
Mothers who were infected with geohelminths alone were 4 times likely to have
microcytic hypochromic red blood cells an indicator of iron deficiency anaemia (Table 2).
Microcytic anemia is most commonly caused by thalassemia, anemia of chronic disease, iron deficiency, lead poisoning, or congenital sideroblastic anemia (acronym, TAILS).
It has previously been proposed as a laboratory tool to distinguish between IDA and anaemia of chronic disease (ACD) with both aetiologies producing morphologically similar hypochromic
microcytic RBC populations (1).
His complete blood count revealed mild hypochromic
microcytic anemia with leucopenia.
Investigation showed
microcytic hypochromic anemia (Hb 8.0 g/dl), raised ESR (70mm/1hr), low serum albumin (2.1g/dl) and total protein (4.3g/dl).
Results: A total of one hundred and thirty-five individuals with hypochromic
microcytic anemia having normal hemoglobin F and hemoglobin A2 3.2% and having low serum iron and ferritin.4
Laboratory abnormalities commonly include elevated inflammatory markers,
microcytic anemia, hypergammaglobulinemia, and hypoalbuminemia [2].
The blood test conducted in our ED revealed hypochromic
microcytic anemia with basophilic stippling of the erythrocytes, decreased hemoglobin concentration of 9.4 g/dL, and hematocrit level of 27.9%.
In April 2014, patient was evaluated for dyspepsia and
microcytic anemia, for which an esophagogastroduodenoscopy (EGD) and colonoscopy were done.
Peripheral smear study revealed
microcytic, hypochromic anemia and laboratory investigations were significant for a profound iron deficiency anemia (Table 1).