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         Megaloblastic Anemia:     more detail
  1. Nutritional Anemias: Scurvy, Pernicious Anemia, Iron Deficiency Anemia, Folate Deficiency, Megaloblastic Anemia
  2. The Megaloblastic Anemias by L.J. Davis, Alexander Brown, 1953
  3. Megaloblastic Anemia
  4. The Megaloblastic Anemias. Modern Medical Monographs 18 by M D, Victor Herbert, 1959
  5. Anemia: An entry from Thomson Gale's <i>Gale Encyclopedia of Science, 3rd ed.</i> by Larry Blaser, 2004
  6. HealthScouter Anemia: Symptoms of Anemia and Signs of Anemia: Anemia Patient Advocate (HealthScouter Anemia)
  7. Nutritional megaloblastic anemias (Diagnostic criteria) by John J Will, 1966
  8. Idiopathic chronic megaloblastic anemia in children (Acta paediatrica. Supplementum) by Olga Imerslund, 1959
  9. Megaloblastic anaemia by V. I Mathan, 1967
  10. Gale Encyclopedia of Alternative Medicine: Vitamin B<SUB>12</SUB> by Judith Turner, 2001-01-01
  11. The Megaloblastic Anaemias by I. Chanarin, 1991-01-15
  12. Folates and Cobalamines by J. A. Zittoun, 1989-09

1. MedlinePlus Medical Encyclopedia: Megaloblastic Anemia
megaloblastic anemia. top. Deficiencies of vitamin B12 and folic acid are the most common causes of megaloblastic anemia. Other causes
http://www.nlm.nih.gov/medlineplus/ency/article/000567.htm
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Megaloblastic anemia
Contents of this page:
Illustrations
Megaloblastic anemia - view of red blood cells Hypersegmented PMN (Close-up) Blood cells Alternative names Return to top Anemia - megaloblastic Definition Return to top Megaloblastic anemia is a blood disorder characterized by anemia, with red blood cells that are larger than normal, usually resulting from a deficiency of folic acid or of vitamin B-12 Causes, incidence, and risk factors Return to top Deficiencies of vitamin B-12 and folic acid are the most common causes of megaloblastic anemia. Other causes are leukemia, myelofibrosis multiple myeloma , certain hereditary disorders, drugs that affect DNA synthesis such as chemotherapy agents (methotrexate), alcohol, and other causes. Risk factors relate to the causes. (See also pernicious anemia Symptoms Return to top Signs and tests Return to top Examination of neurological signs may show abnormal reflexes, decreased position sense, and decreased vibration sense if related to vitamin B-12 deficiency.

2. EMedicine - Megaloblastic Anemia : Article By Paul Schick, MD
megaloblastic anemia megaloblastic anemias are a heterogeneous group of disorders that share common morphologic characteristics. Erythrocytes are larger and have higher nuclear-to-cytoplasmic
http://www.emedicine.com/med/topic1420.htm
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Megaloblastic Anemia
Last Updated: November 14, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: blood disorder, megaloblastosis, cobalamin deficiency, vitamin B-12 deficiency, folate deficiency, pernicious anemia, PA, cobalamin neuropathy, ineffective erythropoiesis, food-cobalamin malabsorption, gastrectomy, Zollinger-Ellison syndrome, ZES, ileal resection, regional ileitis, intestinal lymphoma, Diphyllobothrium latum, D latum, fish tapeworm, blind loop syndrome, nitrous oxide exposure, NO exposure, surgical intestinal resection, amyloidosis, Whipple disease, scleroderma, psoriasis, exfoliative dermatitis, pregnancy, drug reactions, chemotherapy AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography
Author: Paul Schick, MD

3. Hematology And Medical Oncology At Oregon Health & Science University
An article by Thomas G. DeLoughery, Associate Professor of Medicine discussing all aspects of this disorder.
http://www.ohsu.edu/som-hemonc/handouts/deloughery/megalobl.shtml
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4. Megaloblastic Anemia
megaloblastic anemia is a blood disorder characterized by anemia, with red blood cells that are larger are the most common causes of megaloblastic anemia. Other causes are leukemia
http://www.healthscout.com/ency/article/000567.htm
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Megaloblastic anemia
Definition: Megaloblastic anemia is a blood disorder characterized by anemia, with red blood cells that are larger than normal, usually resulting from a deficiency of folic acid or of vitamin B-12
Alternative Names: Anemia - megaloblastic
Causes, incidence, and risk factors: Deficiencies of vitamin B-12 and folic acid are the most common causes of megaloblastic anemia. Other causes are leukemia, myelofibrosis multiple myeloma , certain hereditary disorders, drugs that affect DNA synthesis such as chemotherapy agents (methotrexate), alcohol, and other causes. Risk factors relate to the causes. (See also pernicious anemia
Review Date: 5/2/2003
Reviewed By: Ezra E. W. Cohen, M.D., Section of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network.

5. Megaloblastic (Pernicious) Anemia -Blood Diseases & Disorders
nbsp nbsp. megaloblastic anemia nbsp What is megaloblastic (pernicious) anemia? Megaloblastic (pernicious) anemia is a rare disorder in which the body does
http://www.umm.edu/blood/aneper.htm

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Megaloblastic (Pernicious) Anemia
What is megaloblastic (pernicious) anemia?
Megaloblastic (pernicious) anemia is a rare disorder in which the body does not absorb enough vitamin B12 from the digestive tract, resulting in an inadequate amount of red blood cells (RBCs) produced. What causes megaloblastic (pernicious) anemia?
Megaloblastic (pernicious) anemia is more common in individuals of northern European descent. Megaloblastic (pernicious) anemia results from a lack of intrinsic factor in gastric secretions (a substance needed to absorb vitamin B12 from the gastrointestinal tract). Vitamin B12 deficiency results. The inability to make intrinsic factor may be the result of chronic gastritis, or the result of a gastrectomy (removal of all or part of the stomach). Megaloblastic (pernicious) anemia may also be associated with type 1 diabetes, thyroid disease, and a family history of the disease. What are the symptoms of megaloblastic (pernicious) anemia?

6. Megaloblastic (Pernicious) Anemia - Lucile Packard Children's Hospital
What is megaloblastic (pernicious) anemia? megaloblastic anemia, also called pernicious anemia, is a type of There are many causes of megaloblastic anemia, but the most common
http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/hematology/megalob.html
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Megaloblastic (Pernicious) Anemia
What is megaloblastic (pernicious) anemia?
Megaloblastic anemia, also called pernicious anemia, is a type of anemia characterized by very large red blood cells. In addition to the cells being large, the inner contents of each cell are not completely developed. This malformation causes the bone marrow to produce fewer cells, and sometimes the cells die earlier than the 120-day life expectancy. Instead of being round or disc-shaped, the red blood cells can be oval. What causes megaloblastic (pernicious) anemia? There are many causes of megaloblastic anemia, but the most common source in children occurs from a vitamin deficiency of folic acid. Other sources of megaloblastic anemia include the following:
  • digestive diseases Certain diseases of the lower digestive tract can lead to megaloblastic anemia. These include celiac disease, chronic infectious enteritis, and enteroenteric fistulas. malabsorption Inherited congenital folate malabsorption, a genetic problem in which infants cannot absorb folic acid in their intestines, can lead to megaloblastic anemia. This requires early intensive treatment to prevent long term problems such as mental retardation.

7. NORD - National Organization For Rare Disorders, Inc.
Folate Deficiency Anemia. Folic Acid Deficiency Anemia. Hypovitaminosis B12. megaloblastic anemia of Pregnancy antitumor or immunosuppressive drugs may also cause megaloblastic anemia.
http://www.rarediseases.org/search/rdbdetail_abstract.html?disname=Anemia, Megal

8. MedlinePlus Medical Encyclopedia: Megaloblastic Anemia - View Of Red Blood Cells
megaloblastic anemia view of red blood cells. This picture shows large, dense, oversized, red blood cells (RBCs) that are seen in megaloblastic anemia.
http://www.nlm.nih.gov/medlineplus/ency/imagepages/1214.htm
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Medical Encyclopedia
Megaloblastic anemia - view of red blood cells This picture shows large, dense, oversized, red blood cells (RBCs) that are seen in megaloblastic anemia. Megaloblastic anemia can occur when there is a deficiency of vitamin B-12. Update Date: 3/1/2004 Updated by: Michael C. Milone, M.D., Ph.D., Department of Pathology and Laboratory Medicine, University of Pennsylvania Medical Center, Philadelphia, PA.
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9. Genetic Mutations Linked To Rare Metabolic Disease
Columbus, Ohio Researchers have identified two mutations in a single gene as the cause of a rare disease, megaloblastic anemia.
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GENETIC MUTATIONS LINKED TO RARE METABOLIC DISEASE
COLUMBUS, Ohio Researchers have identified two mutations in a single gene as the cause of a very rare metabolic disease that affects people in Finland, Norway and Saudi Arabia. It has taken nearly 40 years since the identification of the disease for researchers to trace its cause back to a faulty gene. An international team of a dozen scientists, including those from Ohio State University, reported their discovery in the latest issue of the journal Nature Genetics Called megaloblastic anemia 1, or Imerslund-Grasbeck syndrome after the two researchers who first described it, the defects prevent the normal absorption of vitamin B-12. If left untreated, the disease can be fatal. While serious, the syndrome is exceedingly rare only one person in a million may develop this disease. The disease has also been identified in patients from Israel, Turkey, Kuwait and the United States as well.

10. EMedicine - Megaloblastic Anemia : Article Excerpt By: Paul Schick, MD
megaloblastic anemia megaloblastic anemias are a heterogeneous group of disorders that share common morphologic characteristics.
http://www.emedicine.com/med/byname/megaloblastic-anemia.htm
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Excerpt from Megaloblastic Anemia
Synonyms, Key Words, and Related Terms: blood disorder, megaloblastosis, cobalamin deficiency, vitamin B-12 deficiency, folate deficiency, pernicious anemia, PA, cobalamin neuropathy, ineffective erythropoiesis, food-cobalamin malabsorption, gastrectomy, Zollinger-Ellison syndrome, ZES, ileal resection, regional ileitis, intestinal lymphoma, Diphyllobothrium latum, D latum, fish tapeworm, blind loop syndrome, nitrous oxide exposure, NO exposure, surgical intestinal resection, amyloidosis, Whipple disease, scleroderma, psoriasis, exfoliative dermatitis, pregnancy, drug reactions, chemotherapy
Please click here to view the full topic text: Megaloblastic Anemia
Background: Megaloblastic anemias are a heterogeneous group of disorders that share common morphologic characteristics. Erythrocytes are larger and have higher nuclear-to-cytoplasmic ratios compared to normoblastic cells. Neutrophils can be hypersegmented, and megakaryocytes are abnormal. On the molecular level in megaloblastic cells, the maturation of nuclei is delayed, while cytoplasmic development is normal. Megaloblastosis is a generalized disorder because nonhematopoietic cells such as GI and uterine cervical mucosal cells can also have megaloblastic features. The etiology of megaloblastic anemias is diverse, but a common basis is impaired DNA synthesis. The most common causes of megaloblastosis are cobalamin (vitamin B-12) and folate deficiencies. The usual causes of cobalamin deficiency are pernicious anemia (PA) (see

11. Megaloblastic Anaemia
Haematological profile, diagnosis and treatment of megaloblastic anemia. Vitamin B12 deficiency and frolic acid deficiency.
http://www.uq.edu.au/vdu/HDUAnaemiaMegaloblastic.htm
Megaloblastic Anaemia Diagnosis
  • Many cases are seen that have a decreased serum B12 with a normal haematological profile and possibly normal clinical findings
  • Test for methylmalonic acid in the serum as an indicator of vitB12 deficiency
  • Test for homocysteine to check folate levels
Haematological Profile
  • Hb/RCC/Hct - Dec (due to Dec. DNA production)
  • MCV/MCH - Inc. (As precursors are megaloblastic)
  • MCHC - Normal
  • RDW - Inc. (Anisocytosis due to microcytes, normocytes and oval macrocytes)
  • Plt./WCC - Dec
  • Pancytopaenia with a normochromic, macrocytic anaemia
  • Intramedullary haemolysis due to ineffective erythropoiesis (reason for hypercellular BM)
  • Poikilocytosis - ++ (tear drops and schistocytes)
  • Anisocytosis - +++ (oval macrocytes)
    • A "Shift-to-the-Left" indicates an Inc. in band form WBCs
  • Hypercellular bone marrow (M:E at 1:1 or reversed)
  • Erythron
    • Large cells with fine chromatin (Megaloblasts)
    • Nuclear(N)/Cytoplasmic(C) dissociation with N lagging C - normal cytoplasmic maturation
    • Multiple Howell-Jolly bodies (diagnostic if observed)
  • Leucon
    • Giant myelocytes and metamyelocytes
  • Thrombon
    • Often not obvious
  • The peripheral blood (PB) and bone marrow (BM) findings do not distinguish between a vitamin B12/cobalamin deficiency and a folic acid (folate) deficiency

12. ► Megaloblastic Anemia
megaloblastic anemia. Causes, incidence, and risk factors Deficiencies of Vitamin B12 and folic acid are the most common causes of megaloblastic anemia.
http://www.umm.edu/ency/article/000567.htm
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Megaloblastic anemia
Overview Symptoms Treatment Prevention Definition: Megaloblastic anemia is a blood disorder characterized by anemia, with red blood cells that are larger than normal, usually resulting from a deficiency of folic acid or Vitamin B-12
Alternative Names: Anemia - megaloblastic
Causes, incidence, and risk factors: Deficiencies of Vitamin B-12 and folic acid are the most common causes of megaloblastic anemia. Other causes are leukemia myelofibrosis multiple myeloma , certain hereditary disorders, drugs that affect DNA synthesis such as chemotherapy agents (methotrexate), alcohol, and other causes. Risk factors relate to the causes. (See also pernicious anemia
Megaloblastic anemia - view of red blood cells
Hypersegmented PMN (Close-up) Blood cells Review Date: 10/8/2001
Reviewed By: Rebecca Elstrom, M.D., University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
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13. Megaloblastic Anemia (vitamin B12 Deficiency)
next up previous Next Case 1 Up Atlas of Hematology Previous Iron deficiency anemia. megaloblastic anemia (vitamin B12 deficiency).
http://pathy.med.nagoya-u.ac.jp/atlas/doc/node106.html
Next: Case 1 Up: Atlas of Hematology Previous: Iron deficiency anemia
Megaloblastic anemia (vitamin B12 deficiency)

[content]
Nagoya University School of Medicine Department of Medicine The Branch Hospital
Takuji Ichihashi, Tomoki Naoe
Nagasaki University School of Medicine Department of Hematology
Kazutaka Kuriyama
Kyoto University College of Medical Technology
Masataka Sasada
Hamamatsu University School of Medicine Department of Medicine Three
Ryuzo Ohno

14. Hematopathology
The CBC here shows a markedly increased MCV, typical for megaloblastic anemia. The MCV can be mildly increased in persons recovering
http://medlib.med.utah.edu/WebPath/HEMEHTML/HEME025.html
The CBC here shows a markedly increased MCV, typical for megaloblastic anemia. The MCV can be mildly increased in persons recovering from blood loss or hemolytic anemia, because the newly released RBC's, the reticulocytes, are increased in size over normal RBC's, which decrease in size slightly with aging.

15. Pernicious Anemia
Vitamin B12, in turn, is necessary for the formation of red blood cells. Pernicious anemia is a type of megaloblastic anemia. Alternative Names
http://www.healthscout.com/ency/article/000569.htm
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Pernicious anemia
Definition: Anemia is a condition where red blood cells are not providing adequate oxygen to body tissues. There are many types and causes of anemia. (See the general article - anemia .) Pernicious anemia is caused by a lack of intrinsic factor, a substance needed to absorb vitamin B12 from the gastrointestinal tract. Vitamin B12, in turn, is necessary for the formation of red blood cells. Pernicious anemia is a type of megaloblastic anemia
Alternative Names: Macrocytic achylic anemia; Congenital pernicious anemia; Juvenile pernicious anemia; Vitamin B12 deficiency (malabsorption)
Causes, incidence, and risk factors: Intrinsic factor is a protein the body uses to absorb vitamin B12. When gastric secretions do not have enough intrinsic factor, vitamin B12 is not adequately absorbed, resulting in pernicious anemia. Because vitamin B12 is needed by nerve cells and blood cells for them to function properly, pernicious anemia causes a wide variety of symptoms, including fatigue, shortness of breath, tingling sensations, difficulty walking, and diarrhea.

16. AllRefer Health - Megaloblastic Anemia (Anemia - Megaloblastic)
megaloblastic anemia (Anemia Megaloblastic) information center covers causes, prevention, symptoms, diagnosis, treatment, incidence, risk factors, signs
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Alternate Names : Anemia - Megaloblastic Definition Megaloblastic anemia is a blood disorder characterized by anemia, with red blood cells that are larger than normal, usually resulting from a deficiency of folic acid or of vitamin B-12
Megaloblastic Anemia - View of Red Blood Cells
Hypersegmented PMN (Close-Up)
Blood Cells Deficiencies of vitamin B-12 and folic acid are the most common causes of megaloblastic anemia. Other causes are leukemia, myelofibrosis multiple myeloma , certain hereditary disorders, drugs that affect DNA synthesis such as chemotherapy agents (methotrexate), alcohol, and other causes. Risk factors relate to the causes. (See also

17. AllRefer Health - Megaloblastic Anemia - View Of Red Blood Cells - Pernicious An
megaloblastic anemia View of Red Blood Cells - Pernicious Anemia (Congenital Pernicious Anemia, Juvenile Pernicious Anemia, Macrocytic Achylic Anemia
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You are here : AllRefer.com Health Pernicious Anemia : Megaloblastic Anemia - View of Red Blood Cells
Pernicious Anemia
Alternate Names : Congenital Pernicious Anemia, Juvenile Pernicious Anemia, Macrocytic Achylic Anemia, Vitamin B12 Deficiency (Malabsorption)
Megaloblastic Anemia - View of Red Blood Cells
This picture shows large, dense, oversized, red blood cells (RBCs) that are seen in megaloblastic anemia. Megaloblastic anemia can occur when there is a deficiency of vitamin B-12. Other images that might be of interest to you Basophil (Close-Up)
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18. HealthCentral - General Encyclopedia - Megaloblastic Anemia
megaloblastic anemia. Causes, incidence, and risk factors Deficiencies of vitamin B12 and folic acid are the most common causes of megaloblastic anemia.
http://www.healthcentral.com/mhc/top/000567.cfm
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megaloblastic anemia view of red blood cells. This picture shows large, dense, oversized, red blood cells (RBCs) that are seen in megaloblastic anemia.
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20. Diagnose-Me: Conditions: Megaloblastic Anemia / Pernicious Anemia
06, 2004. megaloblastic anemia / Pernicious Anemia, hypovitaminosis B12. Signs, symptoms indicators of megaloblastic anemia / Pernicious Anemia
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Megaloblastic Anemia / Pernicious Anemia
Signs, symptoms and indicators
Conditions that suggest it Contributing risk factors Other conditions that may be present ... anemias are somewhat rare blood disorders characterized by the presence of large, structurally and visually abnormal, immature red blood cells megaloblasts ). Decreased numbers and immaturity of white blood cells leukocytes ) and blood platelets (thrombocytes) may also occur. Megaloblastic anemias are usually caused by a deficiency or defective absorption of either vitamin B12 cobalamin ) or folic acid . As a result, they are also known as the vitamin deficiency anemias. Folic acid was discovered in 1931 as a "cure" for the anemia of pregnancy. Eating extra yeast also seemed to relieve the symptoms of pernicious anemia , but the neurological symptoms of this disease either were not resolved or appeared later on, confirming some doctors’ feelings that there were two different problems involved. In 1945, folic acid was isolated from spinach; we now know that

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