Hemolysis Case 2
After ruling out spurious causes, what is the first branchpoint in the differential diagnosis of macrocytic anemia?Click for Answer
The reticulocyte count is appropriate (absolute count > 120 x 109/L). When considering the rest of the labs, which is most likely diagnosis (the patient was NOT on an anticoagulant):
If this were Wilson’s disease what serum lab value(s) would you expect to be low?
The following were the patient’s serum ceruloplasmin and liver copper levels at time of presentation: