A Woman With Palpitations And Shortness Of Breath

A 27-year-old woman is referred with palpitations and shortness of breath. Her haemoglobin (Hb) is 8.2 g/dL (normal 11.5–16 g/dL), white cell count (WCC) 5.2 × 109/L (normal 4–11 × 109/L) and platelets 513 × 109/L (normal 150–400 × 109/L). The mean cell volume (MCV) is 69 fL (normal 80–100 fL) and the mean cell Hb (MCH) 23 pg (normal 27–33 pg). She has a life-long history of menorrhagia but has declined therapeutic investigations/intervention.

The serum ferritin is 3 ng/mL (normal 6–81 ng/mL). What are the likely diagnosis and possible differential diagnoses? *This case is from Docplexus editorial team for educative purpose only Source: Core Clinical Cases in Medical and Surgical Specialties Stay connected, the answer will be posted in next 48 hrs!