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Sideroblastic anemia

Also called: Sideroblastic anemia

The body can't use iron properly to make red blood cells, causing anemia with iron buildup.

CausesGenes, alcohol, some medicines, copper shortage

Overview

The bone marrow can't use iron to make red blood cells.

Iron builds up in rings inside young red blood cells.

Symptoms

Common signs:

  • Tiredness

Less common

  • Pale skin

When to get medical care

Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayNew or worse symptoms, or symptoms with fever.
See a doctor soonSymptoms that last or keep coming back.

Causes

Many causes.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • People who drink heavily: Higher risk
  • People with low copper or B6: Higher risk

Possible complications

Diagnosis

A clinician asks about your symptoms and may order tests.

The exam

A physical exam.

Tests

Tests, if needed:

  • Bone marrow test:

Treatment

Treatment depends on the cause and how severe it is.

Self-care

  • Avoid alcohol

Medicines

Medicines that may help:

MedicineHelps withGood to know
Vitamin B6
Some types

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to a hematologist (blood doctor).

Living with it

Support groups and helplines

Children, pregnancy, and older adults

  • Older adults: Often linked to MDS.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Outlook depends on the cause; early care helps.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

  • A list of your medicines and supplements
  • Notes on when symptoms started and what makes them better or worse

Questions to ask

  • What's causing this?
  • What treatment do you recommend?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Sideroblastic anemia

Sources

Last updated 2026-11-12.