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A 42-year-old woman of Italian descent presents for a pre-employment physical examination.

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asked May 6, 2014 in Family Medicine/Stats by Rajesh Bahara

A 42-year-old woman of Italian descent presents for a pre-employment physical examination. She has no past medical problems and takes no medications. Her physical examination is normal except for pale conjunctiva. FOBT is negative. CBC is remarkable for a hemoglobin of 11.4 g/dL, a MCV of 60 fL, and a reticulocyte count of 0.6%. White blood cell count and plate-lets are normal. Peripheral smear reveals microcytosis, hypochromia, acanthocytes (cells with irregularly spaced projections), and occasional target cells. Which of the following is the most likely diagnosis?

a. Iron-deficiency anemia

b. Sideroblastic anemia

c. Anemia of chronic disease

d. Thalassemia trait

e. Hemolytic anemia

1 Answer

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Best answer
d. Thalassemia trait
answered May 6, 2014 by Rajesh Bahara
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