Question

A 41-year-old woman was recently diagnosed with systemic lupus erythematous. She complains of feeling generally fatigued and sometimes palpitations.

Her hemogram results are as follows:
-Hb=9.5 g/dL (95 g/L)
-Hct=28% (.28 proportion)
-MCV=86 fL
-RDW= 12.5%
-Reticulocytes=0.9% (.09 proportion)
These findings are most consistent with:

Iron deficiency anemia.
Anemia of chronic disease.
Pernicious anemia.
Alpha thalassemia minor.

Answer 1

The hemogram results are most consistent with anemia of chronic disease in the 41-year-old woman with systemic lupus erythematosus.

Step-by-step explanation:

The findings of the hemogram results in the 41-year-old woman are most consistent with anemia of chronic disease.

Anemia of chronic disease is a type of anemia that occurs as a result of underlying chronic conditions, such as autoimmune diseases like systemic lupus erythematosus. This type of anemia is characterized by a decrease in red blood cells and hemoglobin levels, leading to symptoms like fatigue and palpitations. In this case, the woman's low hemoglobin level (9.5 g/dL) and hematocrit level (28%) are indicative of anemia, while other values like MCV (mean corpuscular volume) and RDW (red cell distribution width) are within normal range.

Therefore, based on the symptoms and the hemogram results, the most likely diagnosis is anemia of chronic disease.