KROK 1 2010 – Question 170 · KROK (Medicine) · Pathophysiology

A 15 year old girl has pale skin, glossitis, gingivitis. Blood count: erythrocytes 3,3 · 10¹²/l, hemoglobin - 70 g/l, colour index - 0,5. Examination of blood smear revealed hypochromia, microcytosis, poikilocytosis. What type of anemia is it?

  1. A. B12-folic acid-deficient
  2. B. Sickle-cell
  3. C. Hemolytic
  4. D. Thalassemia
  5. E. Iron-deficient
Hint

Interpret the colour index, the size and shape of the red cells and the mucosal changes together to identify the underlying shortage.

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