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Abstract Background: Brucellosis can resemble lymphoma when lymphadenopathy accompanies cytopenias and systemic inflammation. Associated secondary haemophagocytic lymphohistiocytosis (HLH) adds to the diagnostic difficulty. Case presentation: A 68-year-old man presented with anorexia, generalised lymphadenopathy, splenomegaly, cytopenias, and hepatic and renal dysfunction. Fever developed on the first hospital evening and reached 41 °C on day 2.
Abstract Microcytic hypochromic anemia is commonly presumed to represent iron deficiency anemia (IDA) at initial presentation. However, failure to respond to iron supplementation and iron indices inconsistent with IDA should prompt early diagnostic reassessment. We report a 67-year-old woman with severe microcytic hypochromic anemia after ineffective iron therapy. Iron studies indicated iron loading with impaired iron utilization rather than iron deficiency.
As a journalist, you can create a free Muck Rack account to customize your profile, list your contact preferences, and upload a portfolio of your best work.
