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A 25-year-old woman was seen in the hematology clinic at this hospital because of anemia and laboratory evidence of increased iron stores.
The patient had been admitted to another hospital one month earlier because of pain in the left lower abdominal quadrant that radiated to the back and was associated with headache and shortness of breath. Computed tomography (CT) of the abdomen and pelvis showed calculi in the left kidney and fat stranding along the left iliopsoas muscle. Laboratory studies revealed a normochromic, normocytic anemia; the serum iron level was 213 µg per deciliter (38.1 µmol per liter); total iron-binding
Differential Diagnosis
Pathological Discussion
Differential Diagnosis
DiamondBlackfan Anemia
-Thalassemia
Iron Overload
Anatomical Diagnoses
Source Information
From the Center for Leukemia (E.C.A.) and the Department of Pathology (R.P.H.), Massachusetts General Hospital; and the Departments of Medicine (E.C.A.) and Pathology (R.P.H.), Harvard Medical School both in Boston.
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