hypochromic anaemia was seen in 23% cases, normocytic hypochromic anaemia in 25% of cases and macrocytic in 10% of cases.
 The anemia observed was of microcytic
Carrier screening carries dual advantage of differentiation from microcytic
hypochromic iron deficiency anaemia and genetic counseling.
This can be explained on the basis of the fact that many studies, national and international, have shown that iron deficiency is the leading cause of anemia worldwide especially hypochromic microcytic
anemia.1,16 Secondly, in Pakistan,frequency of beta thalassemia trait is reported to be 5-7% in general population.17 So even excluding 5-7% of the anemic children from our results, we still get high prevalence of iron deficiency anemia in our preschool children.
The patient's history revealed 13-year seronegative arthritis, microcytic
anaemia diagnosed 10 years ago and general lymphadenopathy.
A FBC with a smear on admission revealed a hypochromic, microcytic
anaemia (Hb 7.3 g/dL) with target cells, spherocytes, oval macrocytes, poikilocytosis and Howel Jolly bodies.
hypochromic is very useful in picking up cases who have low MCV and MCH and require confirmatory tests like serum ferritin and HbA2 estimation.
Expected classic laboratory findings to confirm IDA are increased TIBC; decreased Hgb, serum ferritin, serum transferrin saturation, serum iron concentration; and presence of microcytic
hypochromic red cells (Api et al., 2015; Camaschella, 2015).
Numerous mechanisms are involved in the pathogenesis of this anemia that can be microcytic
, macrocytic, and normocytic.
Haematological examination revealed leukocytosis, lymphopenia and granulocytosis with microcytic
Additionally, the patient's final blood analysis revealed hypochromic microcytic
To diagnose iron deficiency (presence of hypochromic and microcytic
red blood cells) peripheral blood films (pbf) were made from already collected blood, air-dried, and fixed using 70% methanol.
 Coprophagia and pica Female 83 years Alzheimer's disease, in individuals with old major depressive mild to moderate disorder, and mixed dementia and mixed (iron deficiency and (iron deficiency and microcytic
) anemia microcytic
A blood film confirmed neutrophilia and left shift and markedly microcytic
red cells, with no evidence of haematological malignancy.
Laboratory findings showed a microcytic
anemia, a heterozygote [beta]-thalassemia, mild leukocytosis, and slight liver enzyme activity increases (Table 1, case 1).