Table 1. Laboratory values on presentation .

Laboratory test	Value	Reference range
Hemoglobin	7.1 g/dL	Male: 13.5-17.5 g/dL; female: 12.0-16.0 g/dL
MCV	108 fL	80-100 fL
WBC	1.6	4.5-11.0×109/L
Absolute neutrophils count	1009	2500-7000 cells/mL
Platelets	31	150-400×109/L
Creatinine	1.9	0.6-1.2 mg/dL
Calcium	7.8	8.4-10.2 mg/dL
ALT	10	10-40 U/L
AST	15	12-38 U/L
ALKP	202	25-100 U/L
T bili	1.6	0.1-1.0 mg/dL
INR	1.4	0.8-1.1
Albumin	1.2	3.5-5.5 g/dL
Vitamin B12	94 pg/mL	160-950 pg/mL
Folate	4	2.7-17.0 ng/mL