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Sideroblastic anemia is characterized by increased ________?

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Final answer:

Sideroblastic anemia is characterized by increased iron deposits within red blood cells due to defective hemoglobin synthesis, which differs from other iron overload conditions like hemochromatosis.

Step-by-step explanation:

Sideroblastic anemia is characterized by increased levels of iron within red blood cells and in certain tissues. Patients with this condition exhibit abnormal erythrocytes known as sideroblasts, which contain iron-loaded mitochondria. This accumulates due to a dysfunction in how the body incorporates iron into hemoglobin, the oxygen-carrying component of red blood cells.

Normally, iron metabolism involves the absorption of iron which is then used to form hemoglobin. However, in sideroblastic anemia, despite adequate or increased iron levels, there is a defective hemoglobin synthesis. Iron begins to deposit in the mitochondria of developing red blood cells, leading to ringed sideroblasts, an indicator of the disease.

This buildup is similar to other disorders such as hemochromatosis or transfusional iron overload, where there is abnormal deposition of iron in the liver and other organs. However, sideroblastic anemia specifically refers to the ineffective utilization of iron for hemoglobin production, which can be inherited or acquired due to various causes including alcohol use, drug toxicity, or certain infections.

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