TABLE 4

Further laboratory findings in the patient’s third episode of anemia

StudyPatient’s valueReference range
Reticulocyte count9.9 x 109/L (0.6%)90–130 x 109/L (1%–2%)
Mean corpuscular volume90.5 fL78–95 fL
Red cell distribution width15.9%11.5%–15.1%
Lactate dehydrogenase231 U/L135–225 U/L
Direct antiglobulin testNegativeNegative
Haptoglobin362 mg/dL30–200 mg/dL
Indirect bilirubin0.7 mg/dL0.0–1.0 mg/dL
Peripheral smear
 Red blood cellsNormocytic, normochromic, rare schistocytes, no nucleated red blood cells, no teardrop cells
 White blood cellsNo immature white blood cells noted, neutrophil predominance, small mature lymphocytes
 PlateletsIncreased in number, few giant platelets noted