A Puzzle of Hemolytic Anemia, Iron and Vitamin B12 Deficiencies in a 52-Year-Old Male

Autor: Suartcha Prueksaritanond, Aram Barbaryan, Aibek E. Mirrakhimov, Palacci Liana, Alaa M. Ali, Alan D. Gilman
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Case Reports in Hematology, Vol 2013 (2013)
Druh dokumentu: article
ISSN: 2090-6560
2090-6579
51985179
DOI: 10.1155/2013/708489
Popis: A 52-year-old male with no significant past medical history reports increasing generalized fatigue and weakness for the past 2 weeks. Physical examination reveals jaundice and pallor without organomegaly or lymphadenopathy. His hemoglobin was 5.9 g/dL with a mean corpuscular volume of 87.1 fL and elevated red blood cell distribution width of 30.7%. His liver function test was normal except for elevated total bilirubin of 3.7 mg/dL. Serum LDH was 701 IU/L, and serum haptoglobin was undetectable. Further investigation revealed serum vitamin B12 of
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