Hematology Case 50
Hematology Case 50
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Presented By Dr Mohammad Moharram
Released on 14-02-2021Patient Data
Patient Data
59 year old female
Clinical Data
Clinical Data
Diabetic and hypertensive patient on medications.
History of alternating mild anemia and normal HGB for more than 20 years.
Diagnosed before as iron deficiency anemia but with no documentation.
Patient reported that she received iron supplementation and multivitamins for many times all through that period.
Related Laboratory Results
Related Laboratory Results
CBC:
- WBC: 6.6x103 /uL (Normal differential white blood cell count).
- RBC: 6.04 x1012 /uL (R.R.: 3.8 - 4.8)
- HGB: 11.5 g/dL - MCV: 64 fL -MCH: 18.5 pG - MCHC: 29.4 %
- Platelet: x103 /uL
Normal RFT & LFT
Serum Iron: 23 umol/L (5-30.5) - Serum Ferritin: 127 ng/mL (R.R.: 13-150)
Vitamin B12: 768 pg/mL (R.R.: 180-914)
Case Picture(s) / Photo(s)
Case Picture(s) / Photo(s)
Comment / Findings
Comment / Findings
An increase of haemoglobin A2 to 4.4%
Mild anemia with elevated RBC count and microcytic hypochromic RBCs.
Normal Iron Profile
Final Diagnosis
Final Diagnosis
A case of β thalassaemia trait
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