Hematology Case 50

Presented By Dr Mohammad Moharram

Released on 14-02-2021

Patient Data

59 year old female

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

  • 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)

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

A case of β thalassaemia trait