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BOF: 2.220

A 46 year old female presents with a history of breathlessness and passing dark urine. There was s history of episodes of passing dark urine over the last one year. She also gave a history of an unexplained deep vein thrombosis in the past.

On examination she was pale and looked jaundice but other than that there were no abnormalities detected.

Investigations

Hb 7.5 g/dL

WBC 2.3 x10⁹ /L

Platelets 110 x10⁹ /L

Bilirubin 60 µmol/L

Urine urobilinogen +++ haemosiderin ++

In this patient which one of the following complications is likely to occur?

a)      Vitamin B12 deficiency

b)      Folic acid deficiency

c)      Iron deficiency

d)     Hyposplenism

e)      Hypersplenism

 

 

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