Ver el código de «Myelophthistic anemia»

==Background==
*Form of normocytic anemia
*Associated with infiltrative disorder or bone marrow in the setting of malignancy--leukemia, lymphoma, granuloma
==Clinical Features==
*Anemia in patient with h/o malignancy
*Pale skin
*Tachycardia/hypotension in severe cases
*Hepatosplenomegaly as sign of extra medullary hematopoiesis

==Differential Diagnosis==
*Aplastic anemia
*Myelofibrosis
*Acute blood loss anemia
*Bone marrow suppression
*Anemia of chronic disease
*Hemolytic anemia
==Diagnosis==
*Requires bone marrow biopsy
*Labs show normocytic anemia with decreased reticulocyte count
*Exam with signs of extra medullary hematopoiesis
*Index of suspicion in setting of malignancy

==Management==
*Identify anemia as emergent or non-emergent
*Evaluate for superimposed etiologies of anemia (Ie acute blood loss) and target treatment in the ED
*If emergent anemia get IV access, transfuse for signs of end organ damage--AMS, hypotension, chest pain, shortness of breath, decreased UOP
*Will need treatment of underlying malignancy to allow marrow recovery while supporting hemodynamics

==Disposition==
*Admit for bone marrow biopsy and treatment of underlying disease
==See Also==
*[[Anemia]]
*[[Transfusions]]

==External Links==

==References==
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