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1 Donner Laboratory and Donner Pavilion, University of California, Berkeley,
Calif.
Since anemia or polycythemia can result only from a change in rate of formation of red cells or a change in the life span of the red cells, a determination of
the total red cell volume, Fe59 studies to estimate the rate and site of production
of red cells, and C14-labeled glycine or Fe59 studies to determine the life span of
red cells permit a description of the pathogenesis of any alterations in the erythropoietic state. This has been of great value in clinical hematology from the stand-point of understanding the basic nature of the various diseases and, in particular,
the selection of patients with unusual anemias possibly related to hypersplenism
who might benefit from splenectomy. Splenic erythropoiesis can be easily differentiated from splenic red cell destruction. Since two of these methodsthe determination of the blood volume and the
Fe59 studiesare now possible in general commumnity hospitals and since modifications of the Fe59 method permit the determination of the life span of the red
cell, adequate evaluation of the erythropoietic state is now possible in general
hospitals.
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