What are the common causes of anemia rash. How does anemia affect skin appearance. What are the typical symptoms of anemia-related skin conditions. How is anemia rash diagnosed and treated. What precautions should be taken when experiencing an unexplained rash.

What is Anemia Rash and How Does it Manifest?

Anemia rash is a skin condition that can occur as a result of various types of anemia or as a side effect of anemia treatment. This dermatological manifestation can present in different forms, depending on the underlying cause and type of anemia. Understanding the characteristics of anemia rash is crucial for proper diagnosis and treatment.

Common Appearances of Anemia Rash

• Red or purple pinpoint spots (petechiae)
• Bruise-like discoloration
• Red bumps or hives
• Flat or raised patches on the skin

The appearance of these skin abnormalities can vary in size, color intensity, and distribution across the body. In some cases, the rash may be accompanied by itching or discomfort, while in others, it may be asymptomatic.

What Causes Anemia Rash?

Anemia rash can be caused by the anemia itself or by complications arising from anemia treatment. Several types of anemia are associated with skin manifestations, each with its unique characteristics and underlying mechanisms.

Aplastic Anemia and Skin Manifestations

Aplastic anemia is one of the most common causes of anemia rashes. This rare but serious condition occurs when the body’s bone marrow fails to produce enough new blood cells. Aplastic anemia can be either acquired or inherited, and it is more prevalent in teenagers and older adults.

Interestingly, the National Heart, Lung, and Blood Institute reports that aplastic anemia is two to three times more common in Asian countries compared to other parts of the world. This geographical disparity raises questions about potential genetic or environmental factors influencing its prevalence.

The skin manifestations of aplastic anemia typically appear as petechiae – small, round, reddish-purple spots on the skin. These spots are often found on the neck, arms, and legs, but can occur anywhere on the body. Unlike some other rashes, petechiae do not blanch (turn white) when pressure is applied to the skin.

Other Types of Anemia Associated with Skin Changes

1. Thrombotic Thrombocytopenic Purpura (TTP): This rare blood disorder causes tiny blood clots to form throughout the body, leading to petechiae and unexplained purplish bruising (purpura).
2. Paroxysmal Nocturnal Hemoglobinuria (PNH): A genetic disorder causing abnormal red blood cell production, which can result in blood clots and unexplained bruising.
3. Hemolytic Uremic Syndrome (HUS): An immune-mediated condition that destroys red blood cells, potentially causing small bruises and swelling, particularly in the face, hands, or feet.
4. Iron Deficiency Anemia: While not directly causing a rash, iron deficiency can lead to pruritus (itchy skin), which may result in scratching-induced redness and bumps resembling a rash.

How Does Anemia Treatment Affect the Skin?

In some cases, the treatment for anemia itself can lead to skin reactions. Iron supplementation, a common treatment for iron deficiency anemia, may cause allergic reactions in some individuals.

Ferrous Sulfate and Skin Reactions

Ferrous sulfate, a widely prescribed iron supplement, can occasionally trigger allergic reactions in patients. These reactions may manifest as:

• Itchy rash
• Hives
• Skin swelling beneath red areas

The rash or hives can appear anywhere on the body and may be accompanied by swelling. It’s crucial to seek immediate medical attention if you suspect an allergic reaction to ferrous sulfate, especially if you experience swelling of the lips, tongue, or throat, as these could indicate a severe allergic reaction.

Recognizing Anemia Symptoms Beyond Skin Changes

While skin manifestations can be a significant indicator of anemia, they are often accompanied by other systemic symptoms. Recognizing these additional signs can aid in early diagnosis and treatment.

Common Symptoms of Anemia

• Pale skin
• Fatigue
• Shortness of breath
• Rapid or irregular heartbeat
• Dizziness and headaches
• Frequent infections
• Prolonged bleeding from cuts
• Nosebleeds and bleeding gums

The presence of these symptoms alongside skin changes should prompt a medical evaluation for potential anemia.

When Should You Seek Medical Attention for a Rash?

Distinguishing between a benign skin condition and a potentially serious anemia-related rash is crucial. Certain circumstances warrant immediate medical attention:

• Sudden onset of a severe rash with no apparent cause
• A rash that covers the entire body
• Persistence of a rash for more than two weeks without improvement despite home treatments
• Accompanying symptoms such as fatigue, fever, weight loss, or changes in bowel movements
• Suspected allergic reaction to new iron supplements

Early intervention can prevent complications and ensure appropriate treatment for underlying anemia or related conditions.

How is Anemia Rash Diagnosed?

Diagnosing anemia rash involves a comprehensive approach that considers both the skin manifestations and systemic symptoms. Healthcare providers employ various diagnostic tools and techniques to identify the underlying cause of the rash and confirm the presence of anemia.

Diagnostic Procedures for Anemia Rash

1. Physical Examination: A thorough inspection of the skin to assess the characteristics of the rash, including its appearance, distribution, and any associated symptoms.
2. Medical History: Gathering information about the patient’s symptoms, onset of the rash, medications, and any relevant family history.
3. Blood Tests: Complete blood count (CBC) to assess red blood cell levels, hemoglobin, and platelet counts. Additional tests may include iron studies, vitamin B12 levels, and folate levels.
4. Bone Marrow Biopsy: In cases where aplastic anemia is suspected, a bone marrow biopsy may be necessary to evaluate the production of blood cells.
5. Skin Biopsy: In some cases, a small sample of the affected skin may be taken for microscopic examination to rule out other skin conditions.

The combination of these diagnostic procedures helps healthcare providers determine the type of anemia and its relationship to the skin manifestations, guiding appropriate treatment strategies.

What Are the Treatment Options for Anemia Rash?

The treatment of anemia rash primarily focuses on addressing the underlying anemia and its cause. By effectively managing the anemia, the associated skin manifestations often improve or resolve.

Treatment Approaches for Different Types of Anemia

• Iron Deficiency Anemia: Iron supplementation through oral tablets or, in severe cases, intravenous iron infusions. Dietary changes to include iron-rich foods may also be recommended.
• Aplastic Anemia: Treatment may include immunosuppressive therapy, bone marrow transplantation, or blood transfusions, depending on the severity and individual patient factors.
• Hemolytic Anemias: Management may involve corticosteroids, immunosuppressants, or other medications to reduce red blood cell destruction. In some cases, splenectomy (surgical removal of the spleen) may be considered.
• Vitamin Deficiency Anemias: Supplementation with vitamin B12, folic acid, or other necessary vitamins, either orally or through injections.

In addition to treating the underlying anemia, symptomatic relief for the rash itself may be provided through topical treatments such as corticosteroid creams or antihistamines for itching.

Managing Allergic Reactions to Anemia Treatments

If the rash is a result of an allergic reaction to iron supplements or other anemia treatments, the approach may include:

• Discontinuation or change of the offending medication
• Antihistamines to reduce allergic symptoms
• Topical or oral corticosteroids for severe reactions
• Alternative iron supplementation methods or formulations

It’s crucial to work closely with healthcare providers to find the most effective and well-tolerated treatment plan for both the anemia and its associated skin manifestations.

Preventing Anemia and Associated Skin Complications

While not all cases of anemia and related skin complications can be prevented, certain measures can reduce the risk or severity of these conditions.

Strategies for Anemia Prevention

1. Balanced Diet: Consume a diet rich in iron, vitamin B12, and folate. Include lean meats, leafy green vegetables, legumes, and fortified cereals.
2. Regular Health Check-ups: Routine blood tests can help detect anemia early, allowing for prompt intervention.
3. Manage Chronic Conditions: Properly control underlying health conditions that may contribute to anemia, such as autoimmune disorders or chronic kidney disease.
4. Avoid Excessive Alcohol Consumption: Alcohol can interfere with the body’s ability to absorb and utilize nutrients essential for red blood cell production.
5. Consider Supplements: Under medical guidance, take appropriate supplements if you’re at risk for specific nutrient deficiencies.

By implementing these preventive measures, individuals can reduce their risk of developing anemia and its associated skin complications. However, it’s important to consult with healthcare providers before making significant dietary changes or starting any supplementation regimen.

Living with Anemia Rash: Coping Strategies and Support

Dealing with anemia rash can be challenging, both physically and emotionally. Understanding how to manage symptoms and finding appropriate support can significantly improve quality of life for those affected by this condition.

Practical Tips for Managing Anemia Rash

• Gentle Skin Care: Use mild, fragrance-free soaps and moisturizers to avoid irritating the skin further.
• Cool Compresses: Apply cool, damp cloths to affected areas to relieve itching and discomfort.
• Loose-fitting Clothing: Wear soft, breathable fabrics to minimize skin irritation.
• Sun Protection: Use broad-spectrum sunscreen and protective clothing to prevent skin damage and potential worsening of the rash.
• Stress Management: Practice relaxation techniques, as stress can exacerbate skin conditions.

Emotional and Social Support

Living with a visible skin condition can be emotionally taxing. Consider the following support options:

1. Support Groups: Join anemia or chronic illness support groups to connect with others facing similar challenges.
2. Counseling: Seek professional mental health support to address any emotional distress related to the condition.
3. Education: Learn about your condition and treatment options to feel more in control of your health.
4. Open Communication: Discuss your concerns and needs with family, friends, and healthcare providers.

By implementing these coping strategies and seeking appropriate support, individuals with anemia rash can better manage their condition and maintain a good quality of life.

Anemia Rash: Causes, Pictures, and Treatment

An anemia rash may be caused by the anemia itself or due to complications from treatment for anemia. Depending on the type and cause, the rash may look like red or purple pinpoint spots, a bruise, or red bumps.

There are many different types of anemias with different causes. They all have the same effect on the body: an abnormally low amount of red blood cells. Red blood cells are responsible for carrying oxygen through the body.

Some types of anemia can cause rashes, which are abnormalities on the skin. Sometimes, the rash that presents with anemia may be due to the anemia condition itself. Other times, the rash may be due to complications from the treatment of the anemia.

Aplastic anemia

Aplastic anemia is one of the most common causes of anemia rashes. Aplastic anemia is a rare condition, but it can be serious. It can develop or be inherited. It’s most often seen in teenagers and older adults. According to the National Heart, Lung, and Blood Institute, it’s two to three times more common in Asian countries than anywhere else in the world.

Aplastic anemia occurs when the body’s bone marrow doesn’t make enough new blood cells. The rashes resemble patches of pinpoint red or purple spots, known as petechiae. These red spots may be raised or flat on the skin. They can appear anywhere on the body but are more common on the neck, arms, and legs.

The petechial red spots do not typically cause any symptoms like pain or itching. You should notice that they stay red, even if you press on the skin.

In aplastic anemia, not only is there a shortage of red blood cells, there is also a lower than normal level of platelets, another type of blood cell. Low platelet count tends to result in bruising or bleeding more easily. This leads to bruises that look like rashes.

Thrombotic thrombocytopenic purpura

Thrombotic thrombocytopenic purpura is a rare blood disorder that causes tiny blood clots to form throughout your body. This can cause the tiny red or purple spots known as petechiae, as well as unexplained purplish bruising that can look like a rash. The bruising is known as purpura.

Paroxysmal nocturnal hemoglobinuria

Paroxysmal nocturnal hemoglobinuria is a very rare genetic disorder in which a genetic mutation causes your body to produce abnormal red blood cells that break down too quickly. This can cause blood clots and unexplained bruising.

Hemolytic uremic syndrome

Hemolytic uremic syndrome is a condition in which an immune reaction causes the destruction of red blood cells. The immune reaction can be triggered by bacterial infections, some medications, and even pregnancy. It can cause small, unexplained bruising and swelling, particularly of your face, hands, or feet.

Other causes

Iron deficiency anemia is one of the most common types of anemia. People with iron deficiency of any kind may develop pruritus, which is the medical term for itchy skin. As you itch, you may scratch your skin, which can cause redness and bumps that look like rashes.

In some cases, treatment for iron deficiency anemia may also cause rashes. Ferrous sulfate is a type of iron supplement that your doctor may prescribe to you if you have iron deficiency anemia. Some people may develop an allergy to the ferrous sulfate therapy. This can cause you to develop an itchy rash and hives. The hives or rash can appear anywhere on the body and may also come with some skin swelling under the red areas.

You should seek medical attention immediately if you think you have hives or an allergic rash due to ferrous sulfate, especially if you experience any swelling of the lips, tongue, or throat.

Your doctor may suspect anemia as the cause of your rash if it meets the physical description and is accompanied with other common anemia symptoms. These include:

• pale skin
• fatigue
• shortness of breath

Your doctor may check you for aplastic anemia if you display symptoms like:

• rapid or irregular heartbeat
• unexplained, easy bruising
• prolonged bleeding from cuts, especially minor ones
• dizziness and headaches
• nosebleeds
• bleeding gums
• frequent infections, especially those that take longer to clear up than normal

If you’re experiencing a rash or skin changes, you should make an appointment to see your doctor or dermatologist, especially if:

• the rash is severe and comes on suddenly with no explanation
• the rash covers your whole body
• the rash lasts more than two weeks and hasn’t improved with home treatment
• you also experience other symptoms like tiredness, fever, weight loss, or changes in bowel movements

If you believe that the rash is a reaction to new iron supplements that you’ve started taking, seek immediate medical attention. You could be having an allergic reaction or may be taking too high of a dose.

The best ways to treat anemia rashes is to treat the underlying conditions causing them. If your doctor suspects or diagnoses iron deficiency as a cause, they will likely have you start taking iron supplements.

Treating aplastic anemia is sometimes more difficult. Treatments used in aplastic anemia include:

Blood transfusions: Blood transfusions can reduce symptoms but not cure aplastic anemia. You may get a transfusion of both red blood cells and platelets. There isn’t a limit to the number of blood transfusions you can receive. However, they may become less effective over time as your body develops antibodies against transfused blood.

Immunosuppressant drugs: These medications suppress the damage that immune cells are doing to your bone marrow. This allows the bone marrow to recover and create more blood cells.

Stem cell transplants: These can help rebuild the bone marrow to the point where it creates enough blood cells.

Anemia can’t be prevented, so the best way to try to prevent anemia rashes is to treat the underlying causes. Make sure you’re getting enough iron through your diet or with supplements to prevent iron deficiency anemia and iron deficiency-related pruritus.

If you develop an unexplained rash, see your doctor right away. If you don’t already have a provider, our Healthline FindCare tool can help you connect to physicians in your area.

Keep reading: The top 10 foods high in iron »

Anemia Rash: Causes, Pictures, and Treatment

An anemia rash may be caused by the anemia itself or due to complications from treatment for anemia. Depending on the type and cause, the rash may look like red or purple pinpoint spots, a bruise, or red bumps.

There are many different types of anemias with different causes. They all have the same effect on the body: an abnormally low amount of red blood cells. Red blood cells are responsible for carrying oxygen through the body.

Some types of anemia can cause rashes, which are abnormalities on the skin. Sometimes, the rash that presents with anemia may be due to the anemia condition itself. Other times, the rash may be due to complications from the treatment of the anemia.

Aplastic anemia

Aplastic anemia is one of the most common causes of anemia rashes. Aplastic anemia is a rare condition, but it can be serious. It can develop or be inherited. It’s most often seen in teenagers and older adults. According to the National Heart, Lung, and Blood Institute, it’s two to three times more common in Asian countries than anywhere else in the world.

Aplastic anemia occurs when the body’s bone marrow doesn’t make enough new blood cells. The rashes resemble patches of pinpoint red or purple spots, known as petechiae. These red spots may be raised or flat on the skin. They can appear anywhere on the body but are more common on the neck, arms, and legs.

The petechial red spots do not typically cause any symptoms like pain or itching. You should notice that they stay red, even if you press on the skin.

In aplastic anemia, not only is there a shortage of red blood cells, there is also a lower than normal level of platelets, another type of blood cell. Low platelet count tends to result in bruising or bleeding more easily. This leads to bruises that look like rashes.

Thrombotic thrombocytopenic purpura

Thrombotic thrombocytopenic purpura is a rare blood disorder that causes tiny blood clots to form throughout your body. This can cause the tiny red or purple spots known as petechiae, as well as unexplained purplish bruising that can look like a rash. The bruising is known as purpura.

Paroxysmal nocturnal hemoglobinuria

Paroxysmal nocturnal hemoglobinuria is a very rare genetic disorder in which a genetic mutation causes your body to produce abnormal red blood cells that break down too quickly. This can cause blood clots and unexplained bruising.

Hemolytic uremic syndrome

Hemolytic uremic syndrome is a condition in which an immune reaction causes the destruction of red blood cells. The immune reaction can be triggered by bacterial infections, some medications, and even pregnancy. It can cause small, unexplained bruising and swelling, particularly of your face, hands, or feet.

Other causes

Iron deficiency anemia is one of the most common types of anemia. People with iron deficiency of any kind may develop pruritus, which is the medical term for itchy skin. As you itch, you may scratch your skin, which can cause redness and bumps that look like rashes.

In some cases, treatment for iron deficiency anemia may also cause rashes. Ferrous sulfate is a type of iron supplement that your doctor may prescribe to you if you have iron deficiency anemia. Some people may develop an allergy to the ferrous sulfate therapy. This can cause you to develop an itchy rash and hives. The hives or rash can appear anywhere on the body and may also come with some skin swelling under the red areas.

You should seek medical attention immediately if you think you have hives or an allergic rash due to ferrous sulfate, especially if you experience any swelling of the lips, tongue, or throat.

Your doctor may suspect anemia as the cause of your rash if it meets the physical description and is accompanied with other common anemia symptoms. These include:

• pale skin
• fatigue
• shortness of breath

Your doctor may check you for aplastic anemia if you display symptoms like:

• rapid or irregular heartbeat
• unexplained, easy bruising
• prolonged bleeding from cuts, especially minor ones
• dizziness and headaches
• nosebleeds
• bleeding gums
• frequent infections, especially those that take longer to clear up than normal

If you’re experiencing a rash or skin changes, you should make an appointment to see your doctor or dermatologist, especially if:

• the rash is severe and comes on suddenly with no explanation
• the rash covers your whole body
• the rash lasts more than two weeks and hasn’t improved with home treatment
• you also experience other symptoms like tiredness, fever, weight loss, or changes in bowel movements

If you believe that the rash is a reaction to new iron supplements that you’ve started taking, seek immediate medical attention. You could be having an allergic reaction or may be taking too high of a dose.

The best ways to treat anemia rashes is to treat the underlying conditions causing them. If your doctor suspects or diagnoses iron deficiency as a cause, they will likely have you start taking iron supplements.

Treating aplastic anemia is sometimes more difficult. Treatments used in aplastic anemia include:

Blood transfusions: Blood transfusions can reduce symptoms but not cure aplastic anemia. You may get a transfusion of both red blood cells and platelets. There isn’t a limit to the number of blood transfusions you can receive. However, they may become less effective over time as your body develops antibodies against transfused blood.

Immunosuppressant drugs: These medications suppress the damage that immune cells are doing to your bone marrow. This allows the bone marrow to recover and create more blood cells.

Stem cell transplants: These can help rebuild the bone marrow to the point where it creates enough blood cells.

Anemia can’t be prevented, so the best way to try to prevent anemia rashes is to treat the underlying causes. Make sure you’re getting enough iron through your diet or with supplements to prevent iron deficiency anemia and iron deficiency-related pruritus.

If you develop an unexplained rash, see your doctor right away. If you don’t already have a provider, our Healthline FindCare tool can help you connect to physicians in your area.

Keep reading: The top 10 foods high in iron »

Cryotherapy – Acne treatment, acne and pimple removal

Liquid nitrogen, cryotherapy, cryomassage

Liquid nitrogen for acne, pimples

Acne treatment in the Acne Clinic and skin rehabilitation is a complex technique. It includes cleansing the skin with a special treatment using liquid nitrogen, which fights the inflammatory process and leads to skin healing. Our task is to eliminate the cause of acne and cure its consequences. The clinic has specialized on treatment acne since 1993 years old The great experience of our doctors will allow us to achieve a positive effect in the treatment of acne in most cases.

What is liquid nitrogen acne treatment?

To understand how liquid nitrogen works for acne, you need to look inside the skin during the appearance of acne on the face. With acne, there is an inflammatory focus in the dermis, which provokes more and more acne. The use of only home remedies solves the problem superficially, so even if you have achieved improvement, this is usually a temporary result and acne is activated again and again.

What happens with liquid nitrogen acne treatment?

Liquid nitrogen acts on the skin with cold, while blocking nerve impulses. Due to this, peripheral blood supply is improved, metabolic processes are accelerated, which allows to resolve inflammatory infiltration in acne and normalize sebum secretion.
In the treatment of acne with nitrogen, the effect is not only on acne, but also on the focus of inflammation. Cold acts on skin formations, and you see how acne on the face decreases. And this is what you were aiming for.

Why do we choose liquid nitrogen for acne treatment?

The peculiarity of the treatment of acne with liquid nitrogen on the face is that it acts on all skin causes that lead to the appearance of acne. Local cryotherapy is an excellent tool for the prevention and treatment of complications after acne in the form of scars and spots. Liquid nitrogen treatment is very gentle, which is especially important for people with severe acne. All our patients after cryotherapy acquire clean and healthy skin.

Results of acne treatment with liquid nitrogen

Already after the first cryotherapy sessions, the skin condition improves. After the liquid nitrogen procedure, sebum secretion is significantly reduced, the face “comes to life” – it becomes fresh, inflammatory elements decrease.

Cryotherapy price

Liquid nitrogen for acne works independently, without requiring any equipment or expensive preparations to help. Cryotherapy treatment is an affordable and effective procedure. And the price-performance ratio will surprise you. Come visit us at the Clinic. Many of our patients have already got rid of acne, there is no more acne on their face, and there will be no acne.

Liquid nitrogen, cryotherapy in cosmetology

Cryomassage of the face with liquid nitrogen

Cryomassage of the face, cryotherapy of the face is the fastest and most comfortable cosmetic procedure. During the procedure, only a thin surface layer is cooled, so a slight cooling with liquid nitrogen is very pleasant for the patient.

10-15 minutes after the procedure, the patient feels a surge of warmth to the face – as if something had opened in the skin and it was breathing. Similar to chemical peeling, liquid nitrogen massage promotes exfoliation of the surface layers of the epidermis and the emergence of young healthy cells. But with cryomassage, this process is more physiological and gentle.

After cryomassage, the face becomes pink, as if glowing from the inside. In addition, liquid nitrogen remarkably cares for the skin and helps prevent its aging.

Indications for cryomassage, cryotherapy:

• reduced skin turgor and elasticity, first wrinkles;
• anemic skin with poor circulation;
• edema, pasty skin, including after cosmetic plastic surgery;
• seborrheic, porous, oily skin with increased sebum secretion;
• rosacea, acne vulgaris and comedones;
• preparation for cleaning, cosmetic massage, peeling of patients with problematic skin due to the powerful absorbable and anti-inflammatory action of nitrogen;
• combination of adult aging skin, prone to pimples, scars, along with a violation of its elasticity and the formation of wrinkles.

What does anemic mean – Meaning of words

Explanatory dictionary of the Russian language. S.I. Ozhegov, N.Yu. Shvedova.

anemic

th, th; -chen, -chen. Anaemic, and also generally pale and lethargic; expressing such a state. A. teenager. A. view.

n. anemic, and, well.

New explanatory and derivational dictionary of the Russian language, T. F. Efremova.

anemic

adj.

1. 1. Related by value with noun: anemia associated with it.

   2. open Painfully pale, weak.

2. rev. unfold Deprived of a lively interest in the environment; indifferent,
   indifferent.

Examples of the use of the word anemic in the literature.

Painful face, skin oily, shiny, sallow, yellowish, often anemic, covered with vesicular eruptions on the edge of the scalp, around the ears and on the back of the neck.

Fat, lethargic anemic patients, sometimes they can be called plump, the face is usually ruddy, they are completely unbearable, after any, even minimal physical effort, the patient may develop a fever or headache.

Returning to Greensboro was out of the question – after all, everyone understood that the anemic Bill Porter went to Texas not only to recover, but in search of fate.

Three anemic light bulbs, hanging on electric wires from the vaulted ceiling, barely illuminated a long dormitory with two rows of small wooden trestle beds along the walls on stone slabs of the floor.

It serves as a natural stimulus for the closure of the great blood sinuses, which makes the placental site anemic and hastens the discharge of the placenta.

Immersed in thoughts about his person and various comparisons, he came to the conclusion that he himself was becoming more and more feminine, and, as a result, finally falling in love with the circus performer, he began to dream about her, just as an anemic girl dreams of Hercules, capable of crushing her in his arms.

Lanky, lethargic, anemic, bewildered, Arnika stood with her arms dangling in the middle of a small class, and when Madame Semyon pointed out: “On the third bench from the left, Mademoiselle Petra,” the class broke out even more, despite any exhortations.

Even if Nietzsche and Kierkegaard had been born in the most anemic period of history, their inspiration would not have been any less nervous or less incendiary.

If such an anemic girl is not cured in time, if her reactivity is not increased, a serious illness may begin.

We know from trials, and also from various cases of illness, that when too much iron is given, the skin of a person becomes pale, takes on a greenish, waxy, yellowish tint, and the characteristic appearance of a sickly, anemic subject arises.

People who are accustomed to constantly drinking milk become anemic, they develop catarrhal conditions, fatty degeneration of the muscles, heart and liver.

She cut off a piece of anemic sausage, put a spittle of mashed potatoes with a knife, smeared it all with mustard and held the whole structure until it went into her mouth.

He was not at all surprised when Rem’s car stopped in front of his villa in Neubabelsberg and the stormtrooper headquarters, puffing and puffing, as if the anemic heat of Berlin June was a tropical heat, ascended the steps of the balcony.