Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
Hodgkin's disease, nodular sclerosing type. The most likely cause of the anemia is by following LAB observe:
Hb 11g/dL, Hematocrit 33%, MCV 80uM3, reticulocyte count 0.5%, serum iron 25ug/dl, TIBC 15ug/dL (N=250460)
A. abnormal utilization of iron,
B. extravascular hemolysis
c.folate deficiency
d.iron deficiency
e.marrow aplasia
Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
i ll go for marrow aplasia,as bone marrow is involved.
the anemia in hodgekin is normocytic, normochromic.
ans:e
Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
i think it is the abnormal utilization A.
bcos this is the picture of anemia of chronic disease. bcos here iron is decreased and TIBC is also decreased suggesting increased ferritin stores and therefore this is abnormal utilization of the iron bcos of anemia of chronic dz like hodgkin's dz .
Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
That was what I chose A, but I just couldn't sure.
Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
I will pick E. Marrow aplasia. Growth in the bone marrow of RBCs are affected in HD.
Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
anemia of chronic disease, right?!? the iron is being (inappropriately) sequestered and hence, kept from utilization...
Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
serum iron 25ug/dl, TIBC 15ug/dL (N=250-460). low TIBC--- more like AOCD. And if we can say "abnormal utilization of iron,"=AOCD?
Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
So the answer is A. right?
