TABLE 1

The patient’s laboratory values in his second episode of anemia

StudyPatient’s valueReference range
Hemoglobin6.5 g/dL14–18 g/dL
Reticulocyte count13.26 x 109/L
(0.65%)
90–130 x 109/L
(1%–2%)
Mean corpuscular volume85 fL78–95 fL
Red cell distribution width14%11.5%–15.1%
Lactate dehydrogenase162 U/L135–225 U/L
Direct antiglobulin testNegativeNegative
Haptoglobin336 mg/dL30–200 mg/dL
Indirect bilirubin0.2 mg/dL1.0–1.0 mg/dL
Peripheral smear
 Red blood cellsNormocytic, decreased in number, no schistocytes, no spherocytes
 White blood cellsLymphocytes predominant, no immature white blood cells
 PlateletsNormal in size and granulation