Vol 4, No 2 (2013)
Case report
Published online: 2013-06-25

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Diagnostic difficulties in a congenital hemolytic anemia

Ewa Mendek-Czajkowska, Justyna Spychalska, Krzysztof Warzocha
Hematologia 2013;4(2):179-183.

Abstract

Difficulties encountered with making a diagnosis is described in a case study of a 20-year-old man
presenting with anaemia, fever, jaundice, lymphadenopathy and hepatosplenomegaly. The patient’s
medical records reveal that since early childhood, attempts had been made to resolve the reasons
behind a pre-existing anaemia and splenomegaly. However, after performing a complex series of
diagnostic tests, type II of congenital dyserythropoietic anemia (CDA) was finally diagnosed. This
accurate diagnosis, thus enabled chelator therapy to be commenced so as to prevent the occurrence
of secondary haemochromatosis.



Hematology in Clinical Practice