Search

The hematological features of phenacetin-induced hemolytic anemia are presented in order to make the physician aware of the abnormalities which suggest the use of an oxidant drug. The presence of "bitten out" red cells is the commonest initial clue to the existence of drug-induced hemolytic anemia. The diagnosis is confirmed by the demonstration of Heinz bodies and sulfhemoglobinemia. Early recognition of this form of drug-abuse may avert the development or progression of analgesic nephropathy.

It has been claimed repeatedly that iron stimulates hemoglobin formation in normal men and women. Because of the inconclusive evidence in the literature, the possible stimulatory action of iron on normal hemoglobin synthesis was reinvestigated by evaluating the effect of 1000 mg. of intramuscular iron on hematological parameters in six normal men and six normal women over a six-month period. Determinations of red cell and hemoglobin mass after three and six months and monthly determinations of hemoglobin concentration, packed cell volume, red cell count, reticulocyte count, mean corpuscular volume and mean corpuscular hemoglobin concentration showed no significant rise in either the men or the women. It is concluded that there is no demonstrable proof that the administration of iron stimulates erythropoiesis or hemoglobin synthesis in iron-sufficient normal men and women.