Angular stomatitis (114/1700)

A 37yo woman presents with fatigue. Exam: angular stomatitis, no koilonychea. Choose the
single cell type you will find on the blood film.

a. Macrocytes
b. Microcytes
c. Granulocytes wthout blast cells
d. Blast cells



































answer: A
in absence of glossitis, koilonychia unlikely IDA...........so vit b12 deficiency



DD angular stomatitis
  • oral cadidiasis 
  • contact allergy
  • atopic or seborrhoeic dermatitis
  • vitamin B deficiencies
  • iron deficiency (with glossitis)

causes of microcytic anemia: TAILS
Thalassemia
Anemia of chronic disease
Iron def anemia
Lead poisoning
Sideroblastic anemia

causes of normocytic anemia: ABC-H
acute blood loss
bone marrow failure
chronic disease
hemolysis

causes of macrocytic anemia: ABCDEF
alcoholism(liver disease)
b12 deficiency
compensatory reticulocytosis
drugs: azathioprine, cytotoxic, myeloDysplasia
Endocrine: hypothyroidism
Folate deficiency/fetus(pregnancy)

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