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Table 4 Top 5 “open and shut” clinical situations

From: Blood cytopenias as manifestations of inherited metabolic diseases: a narrative review

Diagnosis to recall

Clinical situations

G6PD deficiency

Favism (ingestion of fava beans and hemolysis), Rasburicase induced hemolysis

Gaucher disease

Hypersplenism and Ashkenazi Jewish decent (1/450 births in this population) [8]

IRIDA syndrome

Iron deficiency in young patients without an etiology and not responding to iron supplementation

Porphyria

Cutaneous manifestations and anemia (search for darkening urine after light exposition)

Wilson disease

Hemolytic anemia with hepatic cytolysis or Parkinsonism,

  1. G6PD: glucose-6-phosphate dehydrogenase, IRIDA: Iron refractory iron deficiency anemia