shirini2
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The following laboratory values were obtained during investigation of a 45-year-old man:
Hemoglobin
90 g/L
Mean corpuscular volume
82 fL
Mean corpuscular hemoglobin concentration
300 g/L (N = 310-360 g/L)
Serum iron
7 µmol/L (N = 13-27 µmol/L)
Total iron binding capacity
36 µmol/L (N = 54-72 µmol/L)
Sideroblasts in the bone marrow
0.25 (N = 0.30-0.50)
Bone marrow iron
Normal
These results could be due to all the following conditions, EXCEPT
1) iron deficiency anemia.
2) alcoholism.
3) chronic infection.
4) malignant disease.
5) rheumatoid arthritis.
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| DRamarnath
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a?
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| tamerbashir
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| mikky
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| arlete
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total iron binding capacity would be increased
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| Ivonne
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| cool doctor
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A yes the TIBC should be increased
I will say that all other options can be under anemia of chronic disease
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| shirini2
Forum Senior
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that's right but in alcoholism mcv is high right? I think it can't be alcoholism either.
confused between 1 & 2?
any explanation?
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| neuroblastoma
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2 alcoholism
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| neurom
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2
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| shirini2
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any explanation neurom , neuroblastoma ?
how explain low mcv with alcoholism?
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| neurom
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low mcv - alcoholism - no explain, thats why i put alcoholism as the answer...
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"Nature magically suits a man to his fortunes, by making them the fruit of his character".
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| shirini2
Forum Senior
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your right, sorry I meant how we explain low TIBC with iron deficiency?
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| gatita007
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1 because this a chronic disease anemia
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| cool doctor
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alcoholism can cause sideroblastic anemia which is small MCV
so it can be both large or small
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| shirini2
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Thank youuuu cool doctor. Finally got my answer.
Happy new year
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| cool doctor
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happy new year for u too
and for all members here
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| elixir
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