Page 248 - Clinical Hematology_ Theory _ Procedures ( PDFDrive )
P. 248

232            PART 3  ■  Hematology Laboratory Assessments







                     Box  11.1                                                                                                   Box  11.2






                  Nonmegaloblastic Macrocytic Anemias                                                                         Pathogenetic Classi  cation of Megaloblastic

                                                                                                                              Anemia
                  ASSOCIATED WITH ACCELERATED ERYTHROPOIESIS

                  H  m                m                                                                                       VITAMIN B  DEFICIENCY
                                                                                                                                                  12
                  P        m                    m                                                                             D                             (      )

                                                                                                                              L    k
                  OTHER ASSOCIATED DISORDERS                                                                                  P                     m

                  A            m                                                                                              G

                  L                                                                                                           I                              m

                  M                                 m                                                                         F                            m

                  M                          m                                                                                B                m                        m    B

                  A                 m                                                                                         Sm    -

                  A  q                                   m                                                                    F                 m

                  H                                                 m    (                                                    F  m                            m    B  m


                                                      m             I        III)                                             (Im           -G ä       k           m  )
                  D   m      -B     k            m                                                                            D     -                    m    B  m

                  H                   m                                                                                       C

                  R                                                                                                           Z            -E                   m

                  S            m                  (                    m   ,        mm        )
                                                                                                                              D                           m

                  A                m Greer JP, Foerster J, Rodgers GM, et al. Wintrobe’s Clinical                             P                  m
                  Hematology,             , P                  , PA: L               W      m  & W  k    ,                    R

                       :    ,              . .

                                                                                                                              FOLATE DEFICIENCY

                                                                                                                              D

                    Ex  m                                m                          m                                         I                  q      m

                                    m   ,                                 , m                     ,                           P

                             k m   ,           m           (     B  x     .  ). T    m                                        I

                 k                    m                                          m                 m                          C               m                m

                  m                                                    .                                                      A            m

                    M                                                                              m                          C                          m

                               z                                      m                   m       m      -                    D     -

                      . M                                x  m                               (                                 Ex                                         , j  j

                 .       ),           m                         ,                      ,                                      C  m                                 m    B

                                                                                                     .

                                                                                                                              G        -
               Norm ocytic, Norm ochrom ic Anem ias                                                                           I                                DNA                 x  m


               H                                 m                     m     RBC    z  .                                      D

               H                                m         m                                                                                     m    II

               m                        m                        m          :                (M:E)                            H  m                         m        m

                      .  I                ,      m                 m                                                          D     -          x   -                             DNA               x m

                       m                                 M:E        .                                                         F                           (  .  ., m           x     )

                    N   m                  m                                                         -                        P                           (  .  .,   -m                      )

                                                           m        . I                                                       P    m                           (  .  .,                                 )

                                                                 x            m               m                               A k                       (  .  .,                       m     )

               (      C               ). I                m                m                  m  m-                           O

                                   ,     m                        ,            z  m                       .                   A

               Ex              m                m                                   mm              -                         A                m Greer JP, Foerster J, Rodgers GM, et al. Wintrobe’s Clinical

                                    mm                             j                                                          Hematology,             , P                  , PA: L               W      m  & W  k    ,

                        ,         ,       m      ,         m ,                           .                                          :    ,              .  .



               Microcytic, Hypochrom ic Anem ias

               M              ,                m          m                                            -                        Ex  m             m              ,                 m           m


                          m                           (      C               ). T          m                               (               )                                m   ,       m                         -
                                                                                                           -                       ,                          m   ,             m   ,            m             E


                                m                                         .                                                                 .
   243   244   245   246   247   248   249   250   251   252   253