Case presentation: A 30-year-old man presented to the clinic for malaise, tiredness, and weakness. Social history: The patient was an alcoholic. Physical examination: The physical examination was done, which revealed knuckle pigmentation and atrophic glossitis. (Refer to the given image) ย Investigations: Peripheral Blood Smear: (Refer to cover image) Anisopoikilocytosis: The variation in size and shape of a red blood cell was observed. Macro-ovalocytes: Enlarged and oval-shaped erythrocytes were found.
Hypersegmented neutrophil was observed in the blood smear. Mean Corpuscular Volume (MCV): 110 Reticulocyte count: Low What could be the most likely diagnosis in this case? Megaloblastic anemia Fanconi anemia Aplastic anemia Hemoglobinuria ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its accuracy, we make noโฆ