Unbound MEDLINE

Anemia in adults: a contemporary approach to diagnosis.

Abstract

There are numerous ways of classifying the causes of anemia, and no one way is necessarily superior to another. It is equally important to appreciate the differences in the approaches to diagnosis between children and adults, men and women, and persons of different ethnic backgrounds. Regardless of the specific algorithm followed in evaluating anemia, it is essential that easily remediable causes such as nutritional deficiencies, hemolysis, and anemia of renal insufficiency are identified early and treated appropriately. In general, the differential diagnosis of anemia can be substantially narrowed by subcategorization into "microcytic," "normocytic," and "macrocytic" subtypes on the basis of mean corpuscular volume. However, such classification is a starting point and not infallible. Each category then can be deciphered using a stepwise approach that utilizes readily accessible laboratory tests.

Links

  • Publisher Full Text
  • Authors

    Tefferi A

    Institution

    Division of Hematology and Internal Medicine, Mayo Clinic, Rochester, Minn 55905, USA. tefferi.ayalew@mayo.edu

    Source

    Mayo Clinic proceedings. Mayo Clinic 78:10 2003 Oct pg 1274-80

    MeSH

    Adult
    Anemia
    Diagnosis, Differential
    Female
    Humans
    Male
    Schilling Test
    Thalassemia

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    14531486