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Also addresses major types of anemia: iron-deficiency, pernicious, aplastic, and hemolytic. Anemia of chronic renal disease will have normal marrow iron stores. Iron deficiency can cause hypochromic anemia. (WC) Anemia is an abnormally low hemoglobin. Part of the problem is related to iron metabolism. This article will discuss the causes and clinical diagnosis of iron deficiency, including interpretation of common laboratory tests. Causes include tumors, granulomatous disorders, lipid storage diseases, and primary myelofibrosis. 1 For differential diagnosis, it is useful to classify the type of anemia based on the red cell indices of Wintrobe, 2 which is calculated from red blood cell count, hemoglobin concentration, and hematocrit. Myelophthisic anemia is a normocytic, normochromic anemia that occurs when normal marrow space is infiltrated and replaced by nonhematopoietic or abnormal cells. Bone marrow fibrosis often occurs as a secondary process as well. Patient concerns: We present the case of a 14-year-old female admitted in our clinic for upper digestive hemorrhage, nausea, melena, and abdominal pain. Acid loss leads to iron deficiency anemia that precedes cobalamin-deficient pernicious anemia by 20 years. any disease can cause Inhibited Iron transport - most common anemia in Veterinary species is due to Inhibited Iron. Involved in teaching pathology from the past 16 years. Cameron lesions are linear gastric ulcers or erosions on the mucosal folds at the diaphragmatic impression in patients with a large hiatal hernia. 17 Royal North Shore Hospital, Sydney, NSW.