What are some hematological changes in patients with anorexia nervosa?

• Anemia (21%-39% of patients)
  • Typically normocytic, normochromic)
  • Rarely acquired hemolytic syndrome from hypophosphatemia accompanying anorexia nervosa (e.g., during the refeeding process)
• Leukopenia (29%-36% of patients)
  • Mild neutropenia
  • Lymphocytopenia
• Thrombocytopenia (5-11% of patients)
• Acanthocytes on peripheral smear
• Gelatinous transformation or serous atrophy on bone marrow exam

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