Anemia, Sideroblastic, 2, Pyridoxine-Refractory, also known as anemia, sideroblastic, pyridoxine-refractory, autosomal recessive, is related to sideroblastic anemia and myopathy, lactic acidosis, and sideroblastic anemia 2. An important gene associated with Anemia, Sideroblastic, 2, Pyridoxine-Refractory is SLC25A38 (Solute Carrier Family 25 Member 38). The drugs Fludarabine and Tacrolimus have been mentioned in the context of this disorder. Affiliated tissues include bone marrow and bone, and related phenotypes are elevated transferrin saturation and increased circulating ferritin concentration