Finding | Possible etiology |
Skin | |
Hyperpigmentation | Fanconi anemia |
Petechiae, purpura | Autoimmune hemolytic anemia with thrombocytopenia, hemolytic-uremic syndrome, bone marrow aplasia, bone marrow infiltration |
Carotenemia | Suspect iron deficiency in infants |
Jaundice | Hemolytic anemia, hepatitis, and aplastic anemia |
Cavernous hemangioma | Microangiopathic hemolytic anemia |
Ulcers on lower extremities | Sickle cell disease (S and C hemoglobinopathies), thalassemia |
Facies | |
Frontal bossing, prominence of the malar and maxillary bones | Congenital hemolytic anemias, thalassemia major, severe iron deficiency |
Eyes | |
Microcornea | Fanconi anemia |
Tortuosity of the conjunctival and retinal vessels | Sickle cell disease (S and C hemoglobinopathies) |
Microaneurysms of retinal vessels | Sickle cell disease (S and C hemoglobinopathies) |
Cataracts | Glucose-6-phosphate dehydrogenase deficiency, galactosemia with hemolytic anemia in newborn period |
Vitreous hemorrhages | S hemoglobinopathy |
Retinal hemorrhages | Chronic, severe anemia |
Edema of the eyelids | Infectious mononucleosis, exudative enteropathy with iron deficiency, renal failure |
Blindness | Osteopetrosis |
Mouth | |
Glossitis | Vitamin B12 deficiency, iron deficiency |
Angular stomatitis | |
Chest | |
Unilateral absence of the pectoral muscles | Poland syndrome (increased incidence of leukemia) |
Shield chest | Diamond-Blackfan syndrome |
Hands | |
Triphalangeal thumbs | Red cell aplasia |
Hypoplasia of the thenar eminence | Fanconi anemia |
Spoon nails | Iron deficiency |
Spleen | |
Enlargement | Congenital hemolytic anemia, leukemia, lymphoma acute infection, portal hypertension |
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