A short answer: Hypochromic microcytic anemia is usually due to not enough iron available to make hemoglobin. Sidero-achrestic anemia has iron available but can not incorporate into hemoglobin in bone marrow. It is associated with abnormal ringed sideroblastic red cells in blood, and can also be hypochromic microcytic. Another form of achrestic anemia is a chronic progressive macrocytic anemia.
Answered 11/20/2016
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