Among anemic children, 88%, 9%, and 3% exhibited iron deficiency, dimorphic anemia, and hemolytic anemia, respectively [Figure 1].
95) Primigravida 1681 26 1655 Figure 1: Distribution of children according to type of anemia (n = 100) Iron Deficiency anemia 88 Dimorphic anemia 9 Hemolytic anemia 3 Note: Table made from pie chart.
DISCUSSION: The cases having anemia were classified by peripheral blood smear examination into five major groups- Microcytic hypochromic anemia, Macrocytic anemia, Dimorphic anemia
, Hemolytic and Normocytic normochromic anemia.
A histogram distribution that is bimodal can be seen in various situations, such as dimorphic anemia
, cold agglutinin disease, after the transfusion of normal erythrocytes into a person with abnormally sized erythrocytes, in the presence of erythrocyte fragments, or with agglutination.
Anisopoikilocytosis was the predominant finding in megaloblastic anemia (MA), dimorphic anemia
(DA), iron deficiency anemia (IDA) and erythroid hyperplasia (EH).
Peripheral smear showed dimorphic anemia
followed by macrocytic anemia in majority of cases.
The most common type was dimorphic anemia
in 28 cases and in 1 case it was macrocytic anemia showing megaloblastic change in the bone marrow.
was predominant picture (43 %) on peripheral smear.
She had a hemoglobin level of 5 gm/dl, total count of 2390 cells/cumm, peripheral smear revealed dimorphic anemia
of severe degree with leucopenia.
In the present study, normocytic normochromic anemia is the most common type (55%) followed by microcytic hypochromic anemia (27%), normocytic hypochromic anemia (11%), macrocytic anemia (4%) and dimorphic anemia
(3%) in contrast to study done by Kapur et al, where microcytic hypochromic anemia was the commonest type (43.
ALL(1/9), Hypersplenism (2/5) Hypoplastic anemia(1/20) 9 Megaloblastic anemia (2/67) Dimorphic anemia
(1/13) 10 Megaloblastic anemia (9/67) Dimorphic anemia
(1/13), BM reactive to infection(1/8) 11 Megaloblastic anemia (1/67), -- dimorphic anemia
(1/20) 12 Megaloblastic anemia (5/67) Hypoplastic anemia (1/20) 13 Megaloblastic anemia (5/67) BM reactive to infection (2/8) 14 Megaloblastic anemia (12/67) Hypoplastic anemia (3/20) 15 Megaloblastic anemia (20/67) Hypersplenism(5/5), Dimorphic anemia
(5/13) 16 Megaloblastic anemia (6/67) ALL (3/6)
of Cases % Microcytic Hypochromic 70 70% Macrocytic Normochromic 17 17% Dimorphic anemia