Page 281 - Clinical Hematology_ Theory _ Procedures ( PDFDrive )
P. 281

CHAPTER 14  ■  Disorders of Iron Metabolism and Heme Synthesis                                      265




                                                                       R                  . A             -                              AOI/ACD

                                           -                              ,                                                                   ,                                  ,                      ,                   -

                   m         R,                                             m                                                                           . O                m                                       m ,

                               m     . A                 ,                          m  j   ,                                          m                     ,         m                ,         m                    -

                                               R                                             IDA     m                              m          (SLE),      m   ,                                     . A     m  -

                   AOI        ACD . T                  R,           j                                                                               m                    m

                                                    x,                                                  m   -                                               . A                                 m              -

                           x  m                          m                                                                                       AOI/ACD,   x     m         m

                          m ACD.                                                                                                  q                                                                                       .

                            R,                        m           m  m         -                        -

                                         ,                                                                       -             Pathophysiology



                                     -                       . T            ,                                                  AOI/ACD       hypoproliferative anemia                   m          -

                                                                                                          z                                                     . A                                                 -

                                                           . T                                                                            m                                               (       m               ,

                           m                                                     . A                                                                                                   m                  ),

                                            R              MCH                         m                                                                                                   m j

                                       .                                                                                                   m               m   .

                        F                                                    ;     R                                                M            m            m                                m

                                      .     R                                                                                               mm             m                 (              .  ).

                                                                                                              .

                        T    m                                  R                                                              Hepcidin

                                     m                     m    . A                                    -                       T                                       x                                              -

                                                                                         :                                                 m                                         , hepcidin, (F   .     .  )

                                                                            . B                                                                   z                                          AOI/ACD.  T

                                                                                     m                                                                                   ACD

                              mm                      ,                                                -                                      m            ,               .  B                m            m

                         ACD     m IDA. I                                IDA       x                                                                            m             . H            ,     m         -  m

                   ACD,                                                                                -                                                       m      ,      k     m

                                                                          . W     SF                                                                                            .  E             ,         mm

                                             µ  /L                                   k         mm                                 m                                                            -                        -

                             , m          m                                                                                                                  .

                                        x                                                   .                                       I                ,                           x

                                                                                                                                                           :

                   m                     m   ,                                           m                                      .  A

                               m    ;              ,                                                                                                   m

                       m IDA                                                                          -                                     m                                  (BMP)                   m    x.

                                                       .
                                                                                                                                .  A                                                               x
                                                                                                                                    IL-  –m                    mm                                    .


                     NOTE: This is a good time to review the de  nitions of Key

                     Terms found in the Glossary and   ash cards on                                              .

                     Also, complete Review Questions related to the preceding

                     content.                                                                                                                               Mechanisms Associated w ith


                                                                                                                                   TABLE         14.5       Anemia of In  ammation/

                                                                                                                                                            Malignancy
                   ANEMIA OF INFLAMMA  ION OR ANEMIA

                   OF CHRONIC DISORDERS/DISEASES
                                                                                                                                   1.   Increased hepcidin production

                   Etiology                                                                                                        2.   Alterations in production of proin  ammatory cytokines;



                   Anemia of in  ammation or anemia of chronic disorders/diseases                                                      interleukins (IL-1), (IL-6); tumor necrosis factor alpha

                   (AOI     ACD)                      m                           m            IDA.                                    (TNFα); interferons

                   R                    m                                                      AOI/ACD                             3.   Hemolysis (drug induced, microangiopathic, autoimmune)

                                              ,           ,          ,        k                    . T                             4.   Effects of chemotherapy

                       m           m              mm         m                                                                     5.   Nutritional de  ciencies

                                                         mm        ,               , m               ,

                                          m             mm                    .  A       x m                                       6.   Blood loss
   276   277   278   279   280   281   282   283   284   285   286