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Fingers becomes chill, turns pale. Has hairloss, laziness, forgetfulness. Advised due to iron deficiency. Suggestions?

hi, i am Mrs. Raj. my daughter aged 17 yrs 7 mths was asked to go for a blood test as her fingers just above the palm till the tip turns suddenly pale and becomes chill. sometimes same thing happens to her toes but more to her fingers which remains for few minutes. she finds it difficult to recollect what she studies and she has hair loss . she feels very lazy and weak after 7 pm and wants to go to bed . Her peripheral smear examination report says normal WBC , platelets and erythrocytes are normocytic normochromic and few RBC s are hypochromic anisopoikilocytosis. her haemoglobin is 11.5 gms. my doctor says it is due to iron deficiency and has prescribed some medicines. can u help me understand this better.
Asked On : Thu, 24 Jan 2013
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General & Family Physician 's  Response
Yes your daughter is anaemic,most likely due to iron deficiency.
Hypo chromic  anemia is a generic term for any type of anemia in which the red blood cells (erythrocytes) are paler than normal. (Hypo- refers to less, and chromic means color.) A normal red blood cell will have an area of pallor in the center of it; in hypochromic cells, this area of central pallor is increased. This decrease in redness is due to a disproportionate reduction of red cell hemoglobin (the pigment that imparts the red color) in proportion to the volume of the cell. 
anisocytosis refers to difference in cell size. meaning that not all your red cells are the same size and can be caused by anemia, recent blood transfusion (due to having your own cells and transfused cells in the same population) and several other conditions. poikilocytosis refers to difference in cell shape. Meaning that not all your cells are round, some maybe be oval or elliptical shaped  or may have irregular borders.

Give your daughter iron supplements as advised by your doctor.
Answered: Thu, 24 Jan 2013
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