The Vet Vault: Veterinary Career, Clinical Skills & Wellbeing8 Sep 2025

PIMA: The Anaemia That You Didn’t Know About, But Really Should. With Dr Cynthia Lucidi and Dr Claire Sharp. Bonus - Live at IVECCS

Today’s bonus IVECCS live session wasn’t your average ‘clinical 101’. I had the absolute privilege of getting two brilliant minds on the yellow couch, and … wow.

Apparently 1 + 1 = 🤯 !!

Clinical pathogist Dr Cynthia Lucidi joined me to unpack her talk on Diagnosing Ineffective Hematopoiesis. If you’re a bit lost with that title - don’t worry, so was I! So I brought backup: ECC legend Dr Claire Sharp joined me to ask the smart questions, and together, they cracked open a topic every GP and ECC vet needs to understand: PIMA – Precursor-Targeted Immune-Mediated Anaemia. (If you’ve ever managed an anaemia case that almost looked like IMHA but just didn’t quite fit, or just an anaemia that didn’t want to fit into ANY of the boxes, it was probably this!)

This one started out GP-friendly, but with two minds like these-it escalated fast. Expect specialist-level gold. You’ll want to give this one your full attention. But I promise - it’s worth it!

What we cover:

Defining ineffective haematopoiesis and how it differs from hypoplasia
Diagnostic criteria and differentials for PIMA vs. IMHA
Importance of timing and interpretation in persistent non-regenerative anaemia
Why bone marrow aspiration is underused and how to perform it effectively
Pathologist tips on identifying spherocytes and phagocytosis artefacts
Challenges of diagnosing IMHA and PIMA in cats
Role of transfusions and crossmatching in long-term PIMA management
Timeframes for response and remission in PIMA treatment
When to consider splenectomy for refractory cases
Clinical significance of myelofibrosis in dogs with PIMA
Educating clients and general practitioners on prognosis and referral timing

Click here⁠⁠ to access all of our clinical content at IVECCS special rates.

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