Etiology and Pathogenesis of Macrocytic Anemia

Authors

I Komang Gede Andhika

DOI:

10.29303/jbt.v23i4.5560

Published:

2023-09-05

Downloads

Abstract

Anemia is the most common conditions detected by primary care doctors in Indonesia and worldwide. In 2010, the global prevalence of anemia was 32.9%; that is, more than 2.2 billion people have anemia in the world. Macrocytic anemia refers to a condition that refers to macrocytosis, or when the mean corpuscular volume (MCV) is greater than 100 fL in moderate anemia, the hemoglobin is less than 12 g/dL, or the hematocrit is less than 36%. To identify the etiology and course of the disease in macrocytic anemia. This writing uses the method of studying the relevant literature related to the etiology and course of the disease, macrocytic anemia. The search engines used in this paper include Pubmed, Google Scholar, Research Gate, NCBI, and BMC. This article uses 22 articles that were used as references in its preparation. Megaloblastic anemia has etiologies in the form of vitamin B12 and folate deficiency, while non-megaloblastic anemia has etiologies such as alcohol consumption, MDS, hyperthyroidism, etc. The disease course of the two types of macrocytic anemia also differs based on the type, namely megaloblastic and non-megaloblastic. In general, macrocytic anemia is divided into megaloblastic anemia and non-megaloblastic anemia; these divisions have different etiologies dan pathogenesis.

Keywords:

Anemia Macrocytic Etiology Pathogenesis

References

Bastida, J. M., López-Godino, O., Vicente-Sánchez, A., Bonanad-Boix, S., Xicoy-Cirici, B., Hernández-Sánchez, J. M., Such, E., Cervera, J., Caballero-Berrocal, J. C., López-Cadenas, F., Arnao-Herráiz, M., Rodríguez, I., Llopis-Calatayud, I., Jiménez, M. J., del Cañizo-Roldán, M. C., … & Díez-Campelo, M. (2019). Hidden myelodysplastic syndrome (MDS): A prospective study to confirm or exclude MDS in patients with anemia of uncertain etiology. International Journal of Laboratory Hematology, 41(1), 109–117. DOI: https://doi.org/10.1111/ijlh.12933

Bawaskar, H. S., Bawaskar, P. H., Bawaskar, P. H., & Parekh, P. B. (2019). Tropical megaloblastic anaemia. The Lancet, 393(10187), 2261. DOI: https://doi.org/10.1016/S0140-6736(19)31123-7

Cakmakli, H. F., Torres, R. J., Menendez, A., Yalcin-Cakmakli, G., Porter, C. C., Puig, J. G., & Jinnah, H. A. (2019). Macrocytic anemia in Lesch–Nyhan disease and its variants. Genetics in Medicine, 21(2), 353–360. DOI: https://doi.org/10.1038/s41436-018-0053-1

Cakmakli, H. F., Torres, R. J., Menendez, A., Yalcin-Cakmakli, G., Porter, C. C., Puig, J. G., Jinnah, H. A., Socha, D. S., DeSouza, S. I., Flagg, A., Sekeres, M., Rogers, H. J., Cascio, M. J., DeLoughery, T. G., Hofmann, P., Buetikofer, C., Bächli, E., Stabler, S. P., Nagao, T., … & Hirokawa, M. (2017). Diagnosis and treatment of macrocytic anemias in adults. Cleveland Clinic Journal of Medicine, 368(2), 1–4. DOI: https://doi.org/10.1136/bcr-2020-241028

Cascio, M. J., & DeLoughery, T. G. (2017). Anemia: Evaluation and Diagnostic Tests. Medical Clinics of North America, 101(2), 263–284. DOI: https://doi.org/10.1016/j.mcna.2016.09.003

Chang, J. Y. F., Wang, Y. P., Wu, Y. C., Cheng, S. J., Chen, H. M., & Sun, A. (2015). Hematinic deficiencies and anemia statuses in oral mucosal disease patients with folic acid deficiency. Journal of the Formosan Medical Association, 114(9), 806–812. DOI: https://doi.org/10.1016/j.jfma.2015.06.006

Fleischman, R. A., Stockton, S. S., & Cogle, C. R. (2017). Refractory macrocytic anemias in patients with clonal hematopoietic disorders and isolated mutations of the spliceosome gene ZRSR2. Leukemia Research, 61(May), 104–107. DOI: https://doi.org/10.1016/j.leukres.2017.09.002

Gangat, N., Patnaik, M. M., & Tefferi, A. (2016). Myelodysplastic syndromes: Contemporary review and how we treat. American Journal of Hematology, 91(1), 76–89. DOI: https://doi.org/10.1002/ajh.24253

Green, R. (2017). Vitamin B12 deficiency from the perspective of a practicing hematologist. Blood, 129(19), 2603–2611. DOI: https://doi.org/10.1182/blood-2016-10-569186

Hofmann, P., Buetikofer, C., & Bächli, E. (2021). Hyperregenerative macrocytic anaemia: The role of copper and zinc. BMJ Case Reports, 14(4), 1–4. DOI: https://doi.org/10.1136/bcr-2020-241028

Kaur, N., Nair, V., Sharma, S., Dudeja, P., & Puri, P. (2018). A descriptive study of clinico-hematological profile of megaloblastic anemia in a tertiary care hospital. Medical Journal Armed Forces India, 74(4), 365–370. DOI: https://doi.org/10.1016/j.mjafi.2017.11.005

Malek, E., & Sacher, R. A. (2021). Megaloblastic Anemia. Pathobiology of Human Disease: A Dynamic Encyclopedia of Disease Mechanisms, 1499–1505. DOI: https://doi.org/10.1016/B978-0-12-386456-7.07905-3

Moore, C. A., & Adil, A. (2021). Macrocytic Anemia. StatPearls. URL: https://www.ncbi.nlm.nih.gov/books/NBK459295/

Nagao, T., & Hirokawa, M. (2017). Diagnosis and treatment of macrocytic anemias in adults. Journal of General and Family Medicine, 18(5), 200–204. DOI: https://doi.org/10.1002/jgf2.31

Shipton, M. J., & Thachil, J. (2015). Vitamin B12 deficiency - A 21st century perspective. Clinical Medicine, Journal of the Royal College of Physicians of London, 15(2), 145–150. DOI: https://doi.org/10.7861/clinmedicine.15-2-145

Socha, D. S., DeSouza, S. I., Flagg, A., Sekeres, M., & Rogers, H. J. (2020). Severe megaloblastic anemia: Vitamin deficiency and other causes. Cleveland Clinic Journal of Medicine, 87(3), 153–164. DOI: https://doi.org/10.3949/ccjm.87a.19072

Soffer, S., Efros, O., Levin, M. A., Freeman, R., Zimlichman, E., Reich, D. L., & Klang, E. (2022). Low Frequency of Folate and Vitamin B12 Deficiency in Patients with Marked Macrocytic Anemia. Journal of General Internal Medicine, 37(13), 3504–3505. DOI: https://doi.org/10.1007/s11606-022-07451-2

Srinath, M., Coberly, E., Ebersol, K., Binz, K., Laziuk, K., Gunning, W. T., Gruner, B., Hammer, R., & Sathi, B. K. (2019). ZRSR2 mutation in a child with refractory macrocytic anemia and Down Syndrome. Pediatric Hematology and Oncology, 36(4), 236–243. DOI: https://doi.org/10.1080/08880018.2019.1621969

Stabler, S. P. (2013). Clinical practice. Vitamin B12 deficiency. The New England Journal of Medicine, 368(2), 149–160. DOI: https://doi.org/10.1056/NEJMcp1113996

Teixeira, A. M., Macedo, B., Fontes, C. P., & Manuel, M. (2022). Macrocytic Anaemia: Not Always a Straightforward Diagnosis. Cureus, 14(3), 12–15. DOI: https://doi.org/10.7759/cureus.23152

Torrez, M., Chabot-Richards, D., Babu, D., Lockhart, E., & Foucar, K. (2022). How I investigate acquired megaloblastic anemia. International Journal of Laboratory Hematology, 44(2), 236–247. DOI: https://doi.org/10.1111/ijlh.13789

Yang, J., Yan, B., Yang, L., Li, H., Fan, Y., Zhu, F., Zheng, J., & Ma, X. (2018). Macrocytic anemia is associated with the severity of liver impairment in patients with hepatitis B virus-related decompensated cirrhosis: A retrospective cross-sectional study. BMC Gastroenterology, 18(1), 1–7. DOI: https://doi.org/10.1186/s12876-018-0893-9

Author Biography

I Komang Gede Andhika, Wibisana

Author Origin : Indonesia

Downloads

Download data is not yet available.

How to Cite

Gede Andhika, I. K. (2023). Etiology and Pathogenesis of Macrocytic Anemia. Jurnal Biologi Tropis, 23(4), 238–243. https://doi.org/10.29303/jbt.v23i4.5560

Similar Articles

1 2 3 4 5 6 7 8 9 > >> 

You may also start an advanced similarity search for this article.