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Reported Question / Answer
Q.) A nine month old boy of Sindhi parents presented to you with complains of progressive lethargy, irritability and pallor since 6 month of age.Examination revealed severe pallor.Investigation showed Hb-3.8 mg%;MCV-58fi;MCH-19.4pg/cell.Blood film shows osmotic fragility is normal (target cells and normoblasts).X-ray skull shows expansion of erythroid marrow.Which of the following is the most likely diagnosis?
1)
Hemoglobin D disease
2)
Hereditary spherocytosis
3)
Iron deficiency anemia
4)
Acute lymphoblastic anemia
5)
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Answer :
3
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