hematopoiesis & anemia
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Iron DefciencyAnaemia
DEANNE SAZAIEKA PUTRI BINTISALLAHUDDIN
082014100018
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IDA
!arac"eri#e$ %y microcy"ic&!y'oc!romicre$ ce(() *i"! +, - 80.an$ +H -2/'
+or'!o(oic c!ane) a''ear a) "!eiron )"ore) e" $e'(e"e$ an$na$ea"e 3or !aem )yn"!e)i)
5+ Hi! in c!i($ren& 'renan" *oman& an$
e($er(y
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Ba%ie) are %orn *i"! a%o" /00m o3
iron To"a( %o$y iron in a$(" i) a%o" /m
!i($ren nee$ "o a%)or% a%o" 1m iron
'er $ay "o mee" ro*"! reiremen" 106 o3 $ie"ary iron i) a%)or%e$ $ai(y
Brea)"73e$ in3an") !ae an a$an"ae
%eca)e "!ey a%)or% iron 279 "ime)more e:cien"(y "!an in3an") 3e$ %oinemi(;
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E"io(oy o3 Iron DefciencyAnaemia
In In3an") =
+o)" iron in neona"e) i) in circ(a"in!emo(o%in7?m o3(i3e
Anaemia $e "o $ie"ary $efciency 're)en")%e"*een ?724m o3 (i3e
In 're7"erm an$ LB@ in3an")& iron )"ore) are$e'(e"e$ ear(ier
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E"io(oy o3 Iron Defciency
Anaemia
1
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Dietary defciency o iron
ommone)" ca)e o3 IDA
+ore in )ocioeconomica((y (o*
Impaired absorbtion o ironTo"a('ar"ia( a)"rec"omy (o)) o3a)"ric aci$i"y re)(") in im'aire$ e
a%)or%"ionCIn "o"a( a)"rec"omy &a%)o%"ion i3 ironi) im'aire$
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Increased blood loss
ne o3 "!e common ca)e o3 IDA
/m o3 iron i) (o)" 3or (o)) o3 a%o"10m( o3 %(oo$
Any !aemorr!aic (e)ion in in"e)"ineI
"rac"Some ca)e) =
7!oo;*oom in3e)"a"ion
7m("i'(e 'renancie)7a)"ric mco)a( !aemorr!ae)
7!aema"ria
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Increased iron demand
T!ere i) increa)e$ '!y)io(oica($eman$ in
7in3ancy
7'renancy7(ac"a"ion
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(inica( ea"re)
Sym'"om)= 7@ea;ne))& 3a"ie& or (ac; o3 )"amina 7S!or"ne)) o3 %rea"! 7Hea$ac!e F 3ron"a(
7Di:c("y concen"ra"in 7Irri"a%i(i"y& a'a"!y 7Di##ine))
7Pa((or 7rain )%)"ance) "!a" are no" 3oo$ 'icaC
7T!e $e)ire "o ine)" ice 'ao'!aiaC
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Sin)= 7Ra'i$ !ear" %ea"
7Bri""(e nai() a()o )'oon nai()7koilonychiaC
7rac;e$ (i') an(ar )"oma"i"i)C 7Smoo"! )ore "one (o))i"i)C
7Decrea)e$ a''e"i"e e)'ecia((y inc!i($renC
7Decrea)e$ ra"e o3 ro*"! 7De(ay in );i(() (i;e *a(;in & "a(;in
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7/25/2019 Hematopoiesis & Anemia
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Diano)i)
1< Peri'!era( %(oo$ fn$in)
2< Bone marro* mor'!o(oy an$ iron)"ore)
9< Iron )"a")
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Peri'!era( %(oo$ fn$in)
H% Re$ce$C
Hc" Re$ce$C
A%)o("e a(e) +, - 80. an$ +H
-2/'C+icrocy"ic !y'oc!romic re$ ce(() in 'eri'!era()mearani)o'oi;i(ocy"o)i)µcy"ic&!y'oc!romicC
Re"ic(ocy"e con" Norma( or )(i!"increa)e$C
@!i"e ce(() Norma(C
P(a"e(e") Increa)e$C
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Bone marro* mor'!o(oy an$ iron )"ore)
Hy'erce(((ar
Ery"!roi$ !y'er'(a)ia
+icronormo%(a)"ic reac"ion =Normo%(a)") are )ma((er
+ye(o'oie)i) i) norma(
+ea;aryo'oie)i) i) norma(
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+icrocy"ic !y'oc!romic re$ ce(())ma((er "!an "!e (ym'!ocy"e)!o* a (are cen"ra( 'a((or)rron$e$ %y a rim o3!aemo(o%in a" "!e 'eri'!ery o3re$ ce((
+icronormo%(a)"icery"!ro'oie)i) in iron $efciencyanaemia
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A))e))men" o3 Iron )"a")
Serm 3erri"in
Serm Iron
Serm "ran)3errin rece'"or a))ayRe$ ce(( 'ro"o'or'!yrin
Re"ic(ocy"e !aemo(o%in
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DiGeren"ia( $iano)i)
T!a(a))emia maor
Anaemia o3 c!ronic $i)or$er
T!a(a))emia minor Lea$ 'oi)onin
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Preen"ion
Brea)"73ee$in )!o($ %e encorae$
A$$i"ion o3 iron73or"ife$ cerea() a3"er 47> moo3 ae
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