Anaemia - Classification Flashcards
Define anaemia.
Decreased levels of haemoglobin
Men: <135g/L
Women: <115g/L
What are the 4 main types of anaemia?
Normocytic
Microcytic
Macrocytic
Haemolytic
What are the 2 types of microcytic anaemia?
Normochromic
Hypochromic
What are the 2 types of macrocytic anaemia?
Megaloblastic
Non-megaloblastic
Define megaloblastic anaemia.
Macrocytic anaemia caused by delayed RBC DNA maturation
List 6 causes of normocytic anaemia.
Acute blood loss Anaemia of chronic disease Bone marrow failure Renal failure Hypothyroidism Pregnancy
List 3 causes of megaloblastic anaemia.
What sort of anaemia is this?
Macrocytic anaemia
EXAMPLES: Folate deficiency B12 deficiency (e.g. pernicious anaemia) Cytotoxic drugs (e.g. hydroxycarbamide)
List 7 causes of non-megaloblastic anaemia.
What sort of anaemia is this?
Macrocytic anaemia
EXAMPLES: Alcohol abuse Liver disease Severe hypothyroidism Myelodysplastic syndromes Aplastic anaemia Myeloid leukaemia Drugs affecting DNA synthesis (e.g. antifolate drugs)
List 3 causes of hypochromic, microcytic anaemia.
Iron deficiency anaemia
Anaemia of chronic disease (ACD)
Thalassaemia
List 2 causes of normochromic, microcytic anaemia.
Sideroblastic anaemia
Sickle cell anaemia
What are the 2 types of haemolytic anaemia?
Acquired
Inherited
What are the 2 types of acquired haemolytic anaemia?
Immune mediated
Non-immune mediated
What are the 2 types of immune mediated haemolytic anaemia?
Give 2 examples of each.
Drug-induced, e.g.
- Penicillin
- Quinine
Autoimmune haemolytic anaemia, e.g.
- Warm AIHA
- Cold AIHA
Give 2 examples of cold autoimmune haemolytic anaemia (AIHA).
Cold haemaglutinin disease (CHAD)
Paroxysmal cold haemoglobinuria (PCH)
List 4 non-immune mediated causes of haemolytic anaemia.
Where relevant, give examples.
Autoimmune hepatitis
Hepatitis B/C
Drug induced, e.g.
- Piperacillin
- Rituximab
Microangiopathic haemolytic anaemia, e.g.
- HUS
- TTP (thrombotic thrombocytopenic purpura)
- DIC
- Pre-eclampsia