Question 280 · LEK · Hereditary spherocytosis

Jaundice, low hemoglobin levels, high reticulocyte count, elevated indirect bilirubin levels, negative direct antiglobulin test, decreased erythrocyte osmotic resistance and abnormal EMA test result point to:

  1. A. autoimmune hemolytic anemia.
  2. B. Fanconi anemia.
  3. C. Blackfan Diamond anemia.
  4. D. myelodysplastic syndrome.
  5. E. spherocytosis.
Hint

A negative Coombs test excludes immune hemolysis; which disorder is detected by reduced eosin-5-maleimide binding to band 3?

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