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Blood, 1 November 2007, Vol. 110, No. 9, pp. 3096. This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Rights and Permissions Citing Articles Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Search for Related Content Related Collections Blood Work Social Bookmarking                   What's this?  Previous Article  |  Table of Contents  |  Next Article  BLOOD WORK Anemia and an elevation of MCV View larger version (53K): [in this window] [in a new window]   Neil Abramson, Baptist Cancer Institute   A 35-year-old woman was admitted for pleuritic chest pain. The hospitalist noted mild anemia (hemoglobin 91 g/L) and an elevated mean corpuscular volume (MCV) of 102 on the laboratory report. B12 and folic acid levels were ordered and were normal. A hematologist was requested. The patient had 2 recent episodes of jaundice diagnosed as infectious mononucleosis. Arthralgias had also been present. The family history was negative. On examination, the spleen was palpable. The peripheral smear showed spherocytes and a nucleated red cell. Furthermore, the elevation of MCV was related to reticulocytosis. One laboratory test was ordered: the direct Coombs test. Both the immunoglobulin G (IgG) and C3 Coombs tests were positive. A rheumatologic laboratory assessment made the patient's previous jaundice, arthralgias, and the current Coombs positive spherocytic hemolytic anemia consistent with systemic lupus erythrematosis.   The above image was first published in the ASH IMAGE BANK, a reference and teaching tool that is continually updated with new atlas images and images of case studies. For more information or to contribute to the Image Bank, visit ashimagebank.hematologylibrary.org. CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this? This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Rights and Permissions Citing Articles Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Search for Related Content Related Collections Blood Work Social Bookmarking                   What's this?

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