iron requirements from mother and iron

deficiency is the commonest condition

occurs in 80% of pregnant women 6,7

. Here,

in this case the patient observed the

symptoms of generalized weakness and

dyspnea is due to reduced oxygen carrying

capacity by the deficiency of hemoglobin

(anemia). The reports of hemoglobin

concentration, packed cell volume, mean

corpuscular volume and mean corpuscular

hemoglobin reveals the evidence for blood

disorder anemia where as the added

evidences like depleted levels of serum iron,

serum ferritin and total binding capacity and

laboratory investigations. The reasons for

iron deficiency were still unclear, further

evaluations are necessary to rule out the

actual etiology. Bone marrow biopsy and a

complete family history are recommended

for conclusive answers to understand the

specific causes for IDA. Patients with IDA

generally have the elevated platelet count

and the present case also shown the

condition of thrombocytosis 8,9. HHT is an

autosomal dominant disorder characterized

by arteriovenous malformations of skin

mucosa and viscera. Based on the patient’s

symptoms like epistaxis and black stools,

the physician also suspected the condition as

HHT, but the results of CT scan of paranasal

sinuses and stools occult blood analysis

respectively doesn’t provided any evidence

for HHT 10

Conclusion

In this case, the physicians were clinically

diagnosed the condition as IDA based on the

presence of microcytic and hypochromic

Red Blood Cells in peripheral blood smear

test confirms the anemia as IDA.

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