A 24-Year-Old Man With Symptomatic Anemia

Nicola E. Burch, MBChB, MRCP; Victoria M. Gordon, MBBS, MRCP

Disclosures

February 24, 2017

Editor's Note:
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Background

A 24-year-old Caribbean man who is currently incarcerated presents with symptomatic anemia. He is primarily complaining of exertional dyspnea, generalized fatigue, and some mild chronic nausea. He has no known history of hematemesis, melena, rectal bleeding, or hemoptysis.

His family history is significant for sickle cell anemia in both his grandmother and sister. His medical history is limited to asthma that is controlled with salbutamol and beclomethasone inhalers and to previous admissions for symptomatic idiopathic anemia, for which he has been maintained on iron supplementation.

The patient is a nonsmoker and does not drink alcohol. He has no history of nonsteroidal anti-inflammatory drug or aspirin use. His diet is varied and nonvegetarian.

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