An interesting case: From the consistent hypochromic microcytic erythrocytosis together with target cells and stippled cells we clearly have an undiagnosed case of thalassaemia. Being nearly sixty years old, and with a diagnosis of “chest pains” the thalassaemia has clearly not affected the patient’s life overly.
THALASSAE, MICK DOB Address 13 FAECES BOULEVARD Clinician KCMARY Date 14/12/2010 14/01/2010 29/11/2006 10/01/2005 21/04/1998 02/04/1998 Time u/k u/k u/k u/k 12:51 13:24 Spec AW246341N AW156879P AW186358Q AW377685L AW010664S AW094786B Test HB 12.6 13.2 12.5 12.9 11.3 10.3 WBC 12.0 15.2 7.2 8.6 7.1 5.7 PLT 218 283 260 293 255 223 RBC 5.96 6.40 6.26 6.31 5.76 5.36 HCT 0.380 0.400 0.389 0.406 0.367 0.324 MCV 64.3 63.0 62.1 64.3 63.8 60.5 MCH 21.1 20.6 20.0 20.4 19.6 19.2 MCHC 32.9 32.8 32.1 31.8 30.7 31.8 NEUH 7.6 11.6 4.36 5.19 3.97 2.94 LYMPH 3.6 2.8 2.30 2.83 2.43 2.01 MONO 0.8 0.7 0.42 0.42 0.24 0.21 EOS 0.1 0.1 0.09 0.15 0.32 0.27 |
The consultant will comment, and then family studies will ensue. Or that is they would have done back in the days before the fact that genetically transmissible conditions such as this affect one’s life assurance.
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