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282            PART 4  ■  Erythrocyte Disorders







                                                                                                                                BOX  15.2

                                     Promegaloblast (Megaloblastic Rubriblast)



                                                                                                                              Examples of Conditions Contributing to

                                                                                                                              Cobalamin (Vitamin B ) De  ciency
                                                                                                                                                                            12


                                                                                                                              VITAMIN B  DEFICIENCY
                                                                                                                                                  12
                                     Basophilic Megaloblast (Megaloblastic Prorubricyte)                                      D                             (      )

                                                                                                                              B                m                        m    B

                                                                                                                              L    k

                                                                                                                              P                     m

                                                                                                                              G


                                     Polychromatophilic Megaloblast (Megaloblastic Rubricyte)                                 I                              m
                                                                                                                              F                            m



                                                                                                                              MEDICATIONS (INHIBITORS)

                                                                                                                              H

                                                                                                                              P             m
                                     Orthochromic Megaloblast (Megaloblastic Metarubricyte)

                                                                                                                              MALABSORPTION

                                                                                                                              A

                                                                                                                              G

                                     Polychromatophilic Megalocyte (Megaloblastic Reticulocyte)                               D                           m

                                                                                                                              P                  m

                                                                                                                              R

                                                                                                                              F  m                            m    B  m                    (Im           -
                                     Megalocyte (Oval Macrocyte)
                                                                                                                                   G ä       k           m  )

                                                                                                                              D     -                    m    B  m
               FIGURE  15.1  M                  m                              .  (R

                   m  A              S,  P            K.  Anderson’s  Atlas  o   Hematology,                                  INTESTINAL

               P                  ,  PA:  L                W      m   &  W  k    ,          ,                                 O                                              m ,        x  m     ,

                   m        .)
                                                                                                                                                      m

                                                                                                                              S
                                   m     m                (F   .      .  ).  T                                                Diphyllobothrium latum

                    m    B                  m        DNA              ,

                                                                                        m              .                      IMPAIRED UTILIZATION

               T        m                                          . T                                                                          m    II                                m

                          ,                             m    RNA,                                                             INCREASED DEMAND

                  m            .                                                                                              P


                                                                                                                              I             :

               Etiology



               M                          m

               (      B  x     .  ). M                          m                            m    B                        PERNICIOUS ANEMIA

                                      m

                                     m    (                                    ). O                                        Epidemiology

                        m    B                                                                                             V    m    B                                                 k


                .  I                       z                   m    B                          -                           (IF)        mm                                  m

                                                                Diphyllobothrium  latum                                    E                          . O                          m        k                  m

                                  m                                                                                        B                                                             m    -                   -

                .  P                                                                                                                                       IF                 . T    m

                      m    -                                                                                                                                       m                             . I

                .  M                              m                                             ,                          k                  IF                     m               m

                                           m  ,           m       m                                                        A          Am                   L         ,

                                                                                                                           m                                             .

                .  I      mm                                      m             m                                               A

                .  N                                           m                                                                                    ,                                                              -

                          m    B                                                                                                     m                                 m                 .
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