Mechanical hemolytic anemia
(Redirected from March hemoglobinuria)
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| Mechanical hemolytic anemia | |
|---|---|
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Fatigue, pallor, jaundice, dark urine, shortness of breath |
| Complications | Heart failure, kidney failure |
| Onset | Any age |
| Duration | Variable |
| Types | N/A |
| Causes | Mechanical trauma to red blood cells |
| Risks | Prosthetic heart valves, microangiopathic processes |
| Diagnosis | Blood smear, Coombs test, lactate dehydrogenase levels, haptoglobin levels |
| Differential diagnosis | Autoimmune hemolytic anemia, hereditary spherocytosis, G6PD deficiency |
| Prevention | N/A |
| Treatment | Address underlying cause, blood transfusion, folic acid supplementation |
| Medication | N/A |
| Prognosis | Depends on underlying cause |
| Frequency | Rare |
| Deaths | N/A |
Mechanical hemolytic anemia is a type of anemia characterized by the destruction of red blood cells due to physical forces. This condition can be caused by a variety of factors, including mechanical heart valves, vascular abnormalities, and certain medical procedures.
Causes
Mechanical hemolytic anemia can be caused by a variety of factors, including:
- Mechanical heart valves: These devices can cause damage to red blood cells as they pass through the valve, leading to hemolysis.
- Vascular abnormalities: Conditions such as aortic stenosis and mitral stenosis can cause increased turbulence in the blood flow, leading to damage to red blood cells.
- Medical procedures: Certain procedures, such as cardiopulmonary bypass surgery, can cause mechanical damage to red blood cells.
Symptoms
The symptoms of mechanical hemolytic anemia can vary depending on the severity of the condition, but may include:
Diagnosis
Diagnosis of mechanical hemolytic anemia typically involves a combination of blood tests, including a complete blood count (CBC), reticulocyte count, and lactate dehydrogenase (LDH) level. In some cases, a blood smear may also be performed to examine the shape and size of the red blood cells.
Treatment
Treatment for mechanical hemolytic anemia typically involves addressing the underlying cause of the condition. This may involve surgery to repair or replace a faulty heart valve, treatment of vascular abnormalities, or changes to medical procedures to reduce damage to red blood cells.
See Also
References
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Contributors: Prab R. Tumpati, MD