A 35-year-old man complains of rapidly increasing fatigue, palpitations, "visual snow" and dizziness. He has a history of peptic ulcer of the stomach. Objectively the skin is pale. Vesicular respiration is observed in the lungs. Systolic murmur is detected over the cardiac apex, heart rate is 100/min., BP is 100/70 mm Hg. The epigastrium is slightly tender on palpation. Blood test: erythrocytes 3.2 × 1017/L, Hb. 100 g/L, color index – 0.95. What type of anemia is the most likely present in this case?

Answer options

1. Chronic iron-deficiency anemia
2. Hypoplastic anemia
3. Sideroblastic anemia
4. Posthemorrhagic anemia
5. Hemolytic anemia

Explanation

A 35-year-old man complains of rapidly increasing fatigue, palpitations, “visual snow” and dizziness. He has a history of peptic ulcer of the stomach. Objectively the skin is pale. Vesicular respiration is observed in the lungs. Systolic murmur is detected over the cardiac apex, heart rate is 100/min., BP is 100/70 mm Hg. The epigastrium is slightly tender on palpation. Blood test: erythrocytes 3.2 x 1017/L, Hb. 100 g/L, color index – 0.95 What type of anemia is the most likely present in this case?