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Published on: March 14, 2017
Hematologic manifestations of systemic disease (including iron deficiency, anemia of inflammation and DIC)
1Division of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, 3501 Civic Center Boulevard, CTRB 11th Floor, Room 11-026, Philadelphia, PA 19104, USA.
Insights
A complete blood cell count (CBC) can reveal systemic diseases. This review covers iron deficiency anemia, anemia of inflammation, and disseminated intravascular coagulation, aiding diagnosis.
Area of Science:
- Hematology
- Internal Medicine
- Diagnostic Medicine
Background:
- Complete blood cell count (CBC) is a common diagnostic tool for ill patients.
- Hematologic abnormalities on CBC can indicate underlying systemic disorders.
- Understanding CBC changes is crucial for clinicians to guide further investigations.
Purpose of the Study:
- To review the impact of systemic diseases on CBC results.
- To focus on common acquired anemias and disseminated intravascular coagulation.
- To aid clinicians in interpreting CBC findings in the context of systemic illness.
Main Methods:
- Literature review focusing on iron deficiency anemia, anemia of inflammation, and disseminated intravascular coagulation.
- Analysis of how these conditions manifest in CBC parameters.
- Synthesis of information for clinical application.
Main Results:
- Iron deficiency anemia and anemia of inflammation are common acquired anemias with distinct CBC findings.
- Disseminated intravascular coagulation presents with specific CBC abnormalities.
- Systemic diseases significantly alter CBC results, requiring careful interpretation.
Conclusions:
- Clinicians must correlate CBC findings with potential systemic diseases.
- Recognizing patterns of hematologic abnormalities aids in diagnosing conditions like iron deficiency anemia, anemia of inflammation, and DIC.
- Effective use of CBC interpretation can lead to timely and accurate diagnoses of systemic disorders.
Abstract:
A complete blood cell count (CBC) is a frequent test sent to aid in the diagnostic evaluation of ill patients. Not uncommonly hematologic abnormalities may be the first sign of an underlying systemic disorder. The astute clinician needs to understand how systemic disease can affect the CBC to direct further diagnostic investigations. This article focuses on the 2 most common acquired anemias including iron deficiency and anemia of inflammation as well as disseminated intravascular coagulation.
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