hematopoietic system
• massive splenomegaly results from extensive expansion of the red pulp
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• extramedullary hematopoietic foci are found in the liver
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• severe hemolytic anemia with significantly decreased red blood cell count, hemoglobin and hematocrit
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• high numbers of large reticulocytes and small shperocytes, anisocytosis polychromatophilia due to a high degree of reticulocytosis, poikilocytosis with many bizarrely shaped cells and fragments, increased red blood cell distribution width, spherocytic red blood cells with membrane loss, and frequent irregular sphero-eliptocytes are found, consistent with the abnormal red blood cell membrane skeletal composition, which includes not only diminished alpha spectrin but also diminished beta spectrin, band 3, beta adducin, gamma adducin, and decreased alpha adducin
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• approximately one third of normal red blood cell concentration at 6 weeks of age
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• approximately one third normal level at 6 weeks of age
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• approximately one third the normal level of hemoglobin at 6 weeks of age
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anisocytosis
(
J:157766
)
immune system
• massive splenomegaly results from extensive expansion of the red pulp
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homeostasis/metabolism
• twice normal levels
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• plasma iron levels are much higher than in controls
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• extensive iron accumulation in the kidney
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liver/biliary system
renal/urinary system
• extensive iron accumulation in the kidney
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growth/size/body
• massive splenomegaly results from extensive expansion of the red pulp
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