What are the common causes of anemia rash. How does anemia affect skin appearance. What are the characteristic symptoms of anemia-related skin conditions. Which treatment options are most effective for managing anemia rash.

Understanding Anemia and Its Impact on Skin Health

Anemia is a condition characterized by an abnormally low count of red blood cells, which are responsible for transporting oxygen throughout the body. This deficiency can manifest in various ways, including changes in skin appearance and texture. One such manifestation is the anemia rash, which can present differently depending on the underlying cause and type of anemia.

Anemia rashes may appear as:

• Red or purple pinpoint spots
• Bruise-like discolorations
• Raised red bumps
• Itchy, inflamed areas

These skin changes can occur due to the anemia itself or as a result of complications arising from anemia treatment. Understanding the connection between anemia and skin health is crucial for proper diagnosis and management of these conditions.

Types of Anemia Associated with Skin Rashes

Several types of anemia can lead to the development of skin rashes. Each type has unique characteristics and underlying causes that contribute to the appearance of skin abnormalities.

Aplastic Anemia

Aplastic anemia is a rare but serious condition that can cause distinctive skin rashes. It occurs when the body’s bone marrow fails to produce sufficient new blood cells. This type of anemia is more prevalent in teenagers and older adults, with a higher incidence in Asian countries.

The rash associated with aplastic anemia typically appears as:

• Patches of pinpoint red or purple spots (petechiae)
• Flat or slightly raised spots on the skin
• More common on the neck, arms, and legs

These petechiae do not usually cause pain or itching and remain red even when pressure is applied to the skin.

Thrombotic Thrombocytopenic Purpura (TTP)

TTP is a rare blood disorder characterized by the formation of tiny blood clots throughout the body. This condition can lead to skin manifestations such as:

• Petechiae (tiny red or purple spots)
• Unexplained purplish bruising (purpura)

The combination of these skin changes can create a rash-like appearance on the body.

Paroxysmal Nocturnal Hemoglobinuria (PNH)

PNH is an extremely rare genetic disorder that causes the production of abnormal red blood cells. These cells break down too quickly, leading to various complications, including:

• Blood clots
• Unexplained bruising that may resemble a rash

Hemolytic Uremic Syndrome (HUS)

HUS is a condition triggered by an immune reaction that results in the destruction of red blood cells. This syndrome can be caused by bacterial infections, certain medications, or even pregnancy. Skin manifestations of HUS may include:

• Small, unexplained bruising
• Swelling, particularly of the face, hands, or feet

Iron Deficiency Anemia and Skin Complications

Iron deficiency anemia is one of the most common types of anemia and can also lead to skin-related issues. People with iron deficiency may experience:

• Pruritus (itchy skin)
• Redness and bumps from scratching
• Rash-like appearance due to continuous itching

In some cases, the treatment for iron deficiency anemia itself can cause skin reactions. Ferrous sulfate, a commonly prescribed iron supplement, may trigger allergic reactions in some individuals, leading to:

• Itchy rash
• Hives
• Skin swelling under red areas

It’s crucial to seek immediate medical attention if you suspect an allergic reaction to iron supplements, especially if you experience swelling of the lips, tongue, or throat.

Recognizing Anemia-Related Skin Changes

Identifying anemia-related skin changes is essential for early diagnosis and treatment. Common symptoms that may accompany anemia rashes include:

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

If you experience a combination of these symptoms along with skin changes, it’s important to consult a healthcare professional for proper evaluation.

When to Seek Medical Attention for Anemia Rashes

While not all skin changes require immediate medical attention, certain situations warrant a prompt visit to a doctor or dermatologist. Seek medical care if:

• The rash is severe and appears suddenly without explanation
• The rash covers your entire body
• The rash persists for more than two weeks without improvement despite home treatments
• You experience additional symptoms such as tiredness, fever, weight loss, or changes in bowel movements
• You suspect an allergic reaction to new iron supplements

Early intervention can prevent complications and ensure appropriate treatment for both the anemia and associated skin conditions.

Diagnostic Approaches for Anemia-Related Skin Conditions

Diagnosing anemia-related skin conditions involves a comprehensive approach that combines physical examination, patient history, and laboratory tests. Healthcare providers may employ the following diagnostic methods:

Physical Examination

A thorough physical examination allows doctors to assess the characteristics of the skin rash, including its appearance, distribution, and any associated symptoms. They may look for:

• Petechiae or purpura
• Bruising patterns
• Skin paleness
• Signs of inflammation or itching

Blood Tests

Various blood tests can help diagnose anemia and identify its underlying cause:

• Complete Blood Count (CBC): Measures red blood cell count, hemoglobin, and hematocrit levels
• Iron Studies: Assess iron levels, ferritin, and total iron-binding capacity
• Vitamin B12 and Folate Levels: Rule out deficiencies that can cause certain types of anemia
• Reticulocyte Count: Evaluates the production of new red blood cells

Bone Marrow Biopsy

In cases of suspected aplastic anemia or other bone marrow disorders, a bone marrow biopsy may be necessary to evaluate the production of blood cells.

Genetic Testing

For rare conditions like paroxysmal nocturnal hemoglobinuria, genetic testing can help confirm the diagnosis by identifying specific mutations.

Treatment Strategies for Anemia Rashes

The most effective way to treat anemia rashes is to address the underlying anemia itself. Treatment approaches may vary depending on the type and cause of anemia:

Iron Deficiency Anemia

• Oral iron supplements
• Intravenous iron therapy for severe cases or those who cannot tolerate oral supplements
• Dietary changes to increase iron intake

Aplastic Anemia

• Blood transfusions
• Immunosuppressive therapy
• Bone marrow transplantation in severe cases

Thrombotic Thrombocytopenic Purpura

• Plasma exchange (plasmapheresis)
• Corticosteroids
• Rituximab (in some cases)

Paroxysmal Nocturnal Hemoglobinuria

• Eculizumab or ravulizumab (complement inhibitors)
• Bone marrow transplantation for eligible patients

Hemolytic Uremic Syndrome

• Supportive care, including dialysis if needed
• Plasma exchange in some cases
• Treatment of underlying infections or triggers

In addition to treating the underlying anemia, symptomatic relief for skin-related issues may include:

• Topical corticosteroids for itching and inflammation
• Antihistamines for allergic reactions
• Moisturizers to soothe dry, irritated skin

It’s important to work closely with healthcare providers to develop a personalized treatment plan that addresses both the anemia and its skin manifestations.

Preventing Anemia-Related Skin Complications

While not all cases of anemia can be prevented, certain steps can help reduce the risk of developing anemia and associated skin complications:

Dietary Considerations

Maintaining a balanced diet rich in essential nutrients can support healthy blood cell production:

• Iron-rich foods: Red meat, poultry, fish, beans, lentils, and fortified cereals
• Vitamin B12 sources: Eggs, dairy products, and fortified plant-based alternatives
• Folate-rich foods: Leafy green vegetables, citrus fruits, and legumes
• Vitamin C-rich foods to enhance iron absorption: Citrus fruits, berries, and bell peppers

Supplementation

In some cases, healthcare providers may recommend supplements to prevent or manage anemia:

• Iron supplements for those at risk of iron deficiency
• Vitamin B12 supplements for individuals following plant-based diets or with absorption issues
• Folic acid supplements for pregnant women or those with increased folate needs

Regular Health Check-ups

Routine medical check-ups can help detect anemia early, allowing for prompt treatment and prevention of complications:

• Annual physical examinations
• Blood tests to monitor hemoglobin and iron levels
• Screenings for underlying conditions that may contribute to anemia

Skin Care Practices

Proper skin care can help minimize irritation and reduce the risk of skin complications:

• Use gentle, fragrance-free cleansers
• Moisturize regularly to maintain skin hydration
• Avoid hot showers and harsh soaps that can dry out the skin
• Protect the skin from excessive sun exposure

Living with Anemia-Related Skin Conditions

Managing anemia and its associated skin conditions can be challenging, but there are strategies to improve quality of life:

Emotional Support

Dealing with visible skin changes can impact self-esteem and emotional well-being. Consider:

• Joining support groups for individuals with anemia or skin conditions
• Seeking counseling or therapy to address any emotional challenges
• Connecting with others who have similar experiences through online forums or local meetups

Lifestyle Adjustments

Making certain lifestyle changes can help manage symptoms and improve overall health:

• Engaging in regular, moderate exercise as approved by your healthcare provider
• Practicing stress-reduction techniques such as meditation or yoga
• Getting adequate sleep to support the body’s healing processes
• Avoiding triggers that may exacerbate skin irritation or anemia symptoms

Ongoing Monitoring

Regular follow-ups with healthcare providers are essential for managing anemia and skin conditions:

• Adhering to prescribed treatment plans and medication schedules
• Reporting any new or worsening symptoms promptly
• Keeping track of skin changes and sharing this information with your doctor
• Participating in recommended screenings and tests to monitor progress

By taking a proactive approach to managing anemia and its skin manifestations, individuals can improve their overall health and well-being while minimizing the impact of these conditions on daily 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.