85 Loc. cit.
86 Deutsches Archiv f. klin. Med., xxiv.
87 Centralblatt f. d. Med. Wissenschaft., xx.
Profound anæmia may arise during or after pregnancy, and a considerable proportion of the cases on record have been in this connection.
From ordinary cases of Hodgkin's disease, anæmia lymphatica, there could be no difficulty in making a diagnosis if the superficial glands were enlarged. In splenic anæmia, if the enlargement was not great, there might for a time be uncertainty, which the progressive increase of the organ would remove. Neither in anæmia splenica nor lymphatica are we so likely to meet with the microcytes or irregular corpuscles.
Chlorosis occurs chiefly in young girls, and is amenable to treatment.
From the various cachexias—malarial, syphilitic, metallic—the history will commonly afford grounds for a diagnosis, and in these states, as in latent cancer, the wasting is apt to be more pronounced than in essential anæmia. Cases of gastric cancer are occasionally met with which simulate closely pernicious anæmia, and the diagnosis may be doubtful for months.88
88 Richard Neale, Practitioner, 1883.
The enteritis and hemorrhages caused by the presence of Anchylostoma duodenale in the intestines may produce an aggravated form of anæmia resembling closely the form under consideration. It prevails among the workers in mines and tunnels, hence the name miner's anæmia or anchylostomiasis. The diarrhoea and the detection of the ova or worms in the discharges would afford grounds for a diagnosis.89
89 Trans. of the International Med. Congress, London, 1881, vol. i. 437.