Anemia, Regenerative
Basic Information
Physiology
Causes of Abnormally Low Levels
• As stated previously, regenerative anemia occurs due to blood loss or hemolysis.
• Causes of blood loss include traumatic loss, loss to parasites that feed on blood, blood loss into the gastrointestinal or urogenital tracts from bleeding lesions such as tumors or ulcerations, and blood loss due to disorders of hemostasis.
• Causes of hemolytic anemia include immune-mediated destruction of RBCs (including neonatal isoerythrolysis and reaction to an incompatible blood transfusion), oxidative damage to RBCs (eg, red maple leaf, onion, rye grass, Brassica spp, or phenothiazine toxicosis; one known case of glucose-6-phosphate dehydrogenase deficiency), RBC parasitism, severe hypophosphatemia, snake envenomation, hypotonic fluid administration, and RBC fragmentation due to microangiopathy (eg, vasculitis or disseminated intravascular coagulation).