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- a blood disorder characterized by the presence of microcytes (abnormally small red blood cells) in the blood; often associated with anemia
- make by small short touches that together produce an even or softly graded shadow, as in paint or ink
- produce a mottled effect; "The sunlight stippled the trees" (同)speckle
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/03/18 11:46:33」(JST)
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Microcytosis |
Classification and external resources |
DiseasesDB |
8192 |
Microcytosis is a condition in which red blood cells are unusually small as measured by their mean corpuscular volume.[1]
It is also known as "microcythemia".[2]
When associated with anemia, it is known as microcytic anemia.
Microcytic anemia is not caused by reduced DNA synthesis (source).
Thalassemia can cause microcytosis. Depending upon how the terms are being defined, thalassemia can be considered a cause of microcytic anemia, or it can be considered a cause of microcytosis but not a cause of microcytic anemia.
There are many causes of microcytosis, which is essentially only a descriptor. Cells can be small because of mutations in the formation of blood cells (hereditary microcytosis) or because they are not filled with enough hemoglobin, as in iron-deficiency-associated microcytosis. Red blood cells can be characterised by their hemoglobin content as well as by their size. The hemoglobin content is referred to as the cell's color. Therefore, there are both "normochromic microcytotic red cells" and "hypochromic, microcytotic red cells". The normochromic cells have a normal concentration of hemoglobin, and are therefore 'red enough' while the hypochromic cells do not; thus the value of the Mean corpuscular hemoglobin concentration.
See also[edit]
References[edit]
- ^ Mach-Pascual S, Darbellay R, Pilotto PA, Beris P (July 1996). "Investigation of microcytosis: a comprehensive approach". Eur. J. Haematol. 57 (1): 54–61. doi:10.1111/j.1600-0609.1996.tb00490.x. PMID 8698132.
- ^ "microcythemia" at Dorland's Medical Dictionary
Pathology: hematology, hematologic diseases of RBCs and megakaryocytes / MEP (D50-69,74, 280-287)
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Red
blood cells |
↑ |
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↓ |
Anemia |
Nutritional |
- Micro-: Iron deficiency anemia
- Macro-: Megaloblastic anemia
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Hemolytic
(mostly Normo-) |
Hereditary |
- enzymopathy: G6PD
- glycolysis
- hemoglobinopathy: Thalassemia
- Sickle-cell disease/trait
- HPFH
- membrane: Hereditary spherocytosis
- Minkowski-Chauffard syndrome
- Hereditary elliptocytosis
- Southeast Asian ovalocytosis
- Hereditary stomatocytosis
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Acquired |
- Drug-induced autoimmune
- Drug-induced nonautoimmune
- Hemolytic disease of the newborn
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Aplastic
(mostly Normo-) |
- Hereditary: Fanconi anemia
- Diamond–Blackfan anemia
- Acquired: PRCA
- Sideroblastic anemia
- Myelophthisic
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Blood tests |
- MCV
- Normocytic
- Microcytic
- Macrocytic
- MCHC
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Other |
- Methemoglobinemia
- Sulfhemoglobinemia
- Reticulocytopenia
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Coagulation/
coagulopathy |
↑ |
Hyper-
coagulability |
- primary: Antithrombin III deficiency
- Protein C deficiency/Activated protein C resistance/Protein S deficiency/Factor V Leiden
- Prothrombin G20210A
- Sticky platelet syndrome
- acquired:Thrombocytosis
- DIC
- Congenital afibrinogenemia
- Purpura fulminans
- autoimmune
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↓ |
Hypo-
coagulability |
Thrombocytopenia |
- Thrombocytopenic purpura: ITP
- TM
- Heparin-induced thrombocytopenia
- May-Hegglin anomaly
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Platelet function |
- adhesion
- aggregation
- Glanzmann's thrombasthenia
- platelet storage pool deficiency
- Hermansky–Pudlak syndrome
- Gray platelet syndrome
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Clotting factor |
- Hemophilia
- von Willebrand disease
- Hypoprothrombinemia/II
- XIII
- Dysfibrinogenemia
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cell/phys (coag, heme, immu, gran), csfs
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rbmg/mogr/tumr/hist, sysi/epon, btst
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drug (B1/2/3+5+6), btst, trns
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Abnormal clinical and laboratory findings for blood tests (R70–R79, 790)
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Red blood cells |
Size
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- Anisocytosis
- Macrocyte
- Microcyte
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Shape
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- membrane abnormalities: Acanthocyte
- Codocyte
- Ovalocyte
- Spherocyte
- other: Dacrocyte
- Echinocyte
- Schistocyte
- Degmacyte
- Drepanocyte
- Stomatocyte
- Knizocyte
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Hemoglobinization
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Inclusion bodies
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- developmental organelles (Howell-Jolly body, Basophilic stippling, Pappenheimer bodies, Cabot rings)
- abnormal hemoglobin precipitation (Heinz body)
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Other
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- Rouleaux
- Reticulocyte
- Elevated ESR
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Lymphocytes |
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Small molecules |
Blood sugar
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- Hypoglycemia
- Hyperglycemia
- Prediabetes (Impaired fasting glucose, Impaired glucose tolerance)
- Oxyhyperglycemia
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Nitrogenous
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- Azotemia
- Hyperuricemia
- Hypouricemia
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Proteins |
LFT
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- Elevated transaminases
- Elevated ALP
- Hypoproteinemia (Hypoalbuminemia)
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Other
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- Elevated cardiac markers
- Elevated alpha-fetoprotein
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Minerals |
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Pathogens/sepsis |
- Bacteremia
- Viremia
- Fungemia
- Parasitemia
- Algaemia
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cell/phys (coag, heme, immu, gran), csfs
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rbmg/mogr/tumr/hist, sysi/epon, btst
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drug (B1/2/3+5+6), btst, trns
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noco/acba/cong/tumr, sysi/epon, urte
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proc/itvp, drug (G4B), blte, urte
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UpToDate Contents
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English Journal
- Normal Hemoglobin at the Age of 1 Year Does not Protect Infants From Developing Iron Deficiency Anemia in the Second Year of Life.
- Moser AM, Urkin J, Shalev H.Source*Department of Pediatric Hematology/Oncology, Soroka Medical Center, Ben-Gurion University of the Negev †Clalit Health Services, Southern region and Ben-Gurion University of the Negev, Be'er Sheva, Israel.
- Journal of pediatric hematology/oncology : official journal of the American Society of Pediatric Hematology/Oncology.J Pediatr Hematol Oncol.2011 Aug;33(6):467-9.
- BACKGROUND: Iron deficiency anemia (IDA) is the most common hematologic disorder worldwide. Measures to prevent IDA in infants have been successful with questionable sustainability.AIM: To evaluate the incidence of developing IDA in the second year of life, in infants who were nonanemic at the age o
- PMID 21792044
- mTOR inhibition and erythropoiesis: microcytosis or anemia?
- Diekmann F, Rovira J, Diaz-Ricart M, Arellano EM, Vodenik B, Jou JM, Vives-Corrons JL, Escolar G, Campistol JM.Source1Department of Nephrology and Kidney Transplantation, Laboratori Experimental de Nefrologia i Transplantament (LENIT), Hospital Clinic, Barcelona, Spain.
- Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.Nephrol Dial Transplant.2011 Jul 22. [Epub ahead of print]
- BACKGROUND: Anemia and microcytosis are common post kidney transplantation. The aim of this study was to evaluate the potential role of mammalian target of rapamycin (mTOR) inhibition in the development of anemia and microcytosis in healthy animals and in human erythroid cultures in vitro.METHODS: R
- PMID 21785038
Japanese Journal
- 服部 幸夫
- 山口医学 50(3), 637-644, 2001-06-30
- … Japanese individuals with thalassemia (thal) are mostly heterozygous and asymptomatic except for microcytosis. … The microcytosis which is characteristic of all thal, is well compensated for by an increased number of red blood cells. …
- NAID 110002774076
- Hb Gunma (β^<Gunma>) with Pulmonary Embolism
- IIZUMI Toshio,SURIKI Hidehisa,SATO Fujio,HARANO Teruo
- Internal medicine 34(5), 376-379, 1995-05
- … A 67-year-old woman with pulmonary embolism was suspected to have β-thalassemia based on microcytosis, hemolysis and a negative red cell stability test. …
- NAID 10006803837
Related Links
- Microcytosis is a condition where red blood cells are unusually small when their mean corpuscular volume is measured. It is also known as "microcythemia". When associated with anemia, it is known as microcytic anemia. ...
Related Pictures
★リンクテーブル★
[★]
- lead poisoning would produce microcytosis with basophilic stippling.