A 28-year-old woman of Mediterranean descent presents with mild anemia (hemoglobin 10.2 g/dL), microcytia (MCV 72 fL), and normal iron stores. Serum ferritin is elevated at 145 ng/mL (normal <150). Hemoglobin electrophoresis shows elevated hemoglobin A2 (3.8%) and normal fetal hemoglobin. Which of the following is the most likely diagnosis?
- A)Sickle cell trait
- B)β-Thalassemia traitGABARITO
- C)Iron deficiency anemia
- D)Hemoglobin E disease
- E)α-Thalassemia trait
Explicação
β-Thalassemia trait presents with mild microcytic anemia, normal or elevated iron stores, and elevated HbA2 (>3.5%) on electrophoresis. Normal HbF and Mediterranean ethnicity support this diagnosis. Ver explicação completa e trilha adaptativa →