BACKGROUND Elevated neutrophil myeloperoxidase may have a role in the diagnosis of megaloblastic erythropoiesis. AIMS To study the differentiating role of myeloperoxidase index in megaloblastic and aplastic anemia. SETTINGS AND DESIGN The myeloperoxidase index (MPXI) was studied in 96 patients with megaloblastic and aplastic anemia diagnosed on bone marrow aspiration and biopsy examinations...

thiamine responsive megaloblastic anemia (trma), also known as roger syndrome is an autosomal recessive disorder resulting from the deficiency of thiamine (vitamin b1) transporter protein. this is the report of a 3- year follow up of a female child who presented in 2000 at the age of 11 with severe anemia, congenital deafness and diabetes mellitus. in our follow-up period we prescribed 100-mg t...

CBC data for diagnosing classical megaloblastic anemia. Other features such as pancytopenia, elevated RDW, serum LDH and indirect bilirubin, as well as LDH1>LDH2 are also helpful. If a patient has a normal or low MCV, megaloblastic anemia is not usually the first consideration, which might lead to a missed diagnosis or delay in giving treatment. The present study shows that the combined disease...

I enjoyed the article by 1. Eivazi Ziai, et al. concerning "Use of myeloperoxidase index as a suitable tool to monitor response to therapy in patients with megaloblastic anemia" that was published in the last issue of the Medical Journal ofIslamic Republic of Iran. I I would like to make some points regarding this study. A. The authors mentioned that in primary evaluation of 50 anemic pa...

Clinical and laboratory studies of 22 patients with megaloblastic anemia were reported herein. The patients were grouped on the basis of pathogenesis of megaloblastic anemia. Group A: 12 patients with idiopathic megaloblastic anemia. Group B: 10 patients with secondary megaloblastic anemia. In 5 patients megaloblastic anemia was associated with gas trectomy, in 3 patients with operation of smal...

primary adrenal insufficiency (addison’s disease) is due to adrenocortical disease. this study is about a 40 year old man who had been referred to a hematologist who assessed him for anemia. he  had been affected by a periodic paresthesia one month prior to his visit to the physician. according to the clinical presentation, macrocytic anemia and hypersegmentation of pmn in pbs, bma/b was perfor...

We report the observation of a high neutrophil myeloperoxidase activity (MPXI) in patients with megaloblastic anemia. MPXI is rapidly measured as part of an automated complete blood count (Technicon H*1, Technicon Instruments Corp, Tarrytown NY). We describe the range of MPXI levels in healthy and patient populations and in 10 cases of megaloblastic anemia, including five having elevated mean c...

Thiamine-responsive megaloblastic anemia (TRMA) also known as Rogers syndrome is a rare autosomal recessive disorder characterized by anemia, diabetes mellitus, and progressive sensorineural deafness. The disease can be manifested anytime between infancy adolescence, all the cardinal findings may not present at time of diagnosis. main defect lies in active thiamine uptake into cells which distu...