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  #1  
Old 07-28-2010
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RBC An anemia case!

A 68-year-old man has had malaise for over a year. On physical examination, there are no abnormal findings. His hemoglobin is 10.5 g/dL, Hct 31.5%, MCV 88 fL, platelet count 211,000/microliter, and WBC count 6980/microliter. His total serum iron is 130 microgm/dL total iron binding capacity (TIBC) 230 microgm/dL, and soluble serum transferrin receptor is normal. A bone marrow biopsy is performed and microscopic examination shows that maturation is occurring in all cell lines and there are no abnormal cells seen. Stainable iron in the bone marrow is increased. Which of the following underlying diseases is he most likely to have?

A Diverticulosis
B Hepatitis C infection
C Systemic lupus erythematosus
D Atrophic gastritis
E Fanconi anemia
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  #2  
Old 07-28-2010
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should be b.. hep C infection
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  #3  
Old 07-28-2010
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Default C

C Systemic lupus erythematosus
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  #4  
Old 07-28-2010
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I'm curious as to why you chose c kushboo
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Old 07-28-2010
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hmm...ACD is asso with chronic inflammatory conditions mostly non infectious like autoimmunity related chronic inflammation e.g. rheumatoid arthritis...n also alcohol n malignancy...

its common in RA n in option given i felt only SLE is chronic inflammatory..

let c wt is correct ans...
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  #6  
Old 07-28-2010
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Yea that was my reasoning for Hep C.. because its a chronic disease

btw... while i was reading this question, it looked really familiar... infact check out question 8 in webpath... http://library.med.utah.edu/WebPath/...G/hem1frm.html
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  #7  
Old 07-28-2010
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ya got that...thanks for link...
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  #8  
Old 07-29-2010
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i found it interesting thats y i posted it
it is from webpath lolzzzz...
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Old 07-31-2010
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I disagree ???

what is d right answer??
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  #10  
Old 07-31-2010
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hmm... hep c seems to be the only logical answer, in which the blood is affected to cause increased iron levels but not aplastic or megaloblastic anemia. n SLE doesnt seem right because he's been fatigued for a YEAR!!
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  #11  
Old 08-21-2013
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ACD due to Hep C infection
Good question
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