Table 2.
Laboratory results of the patient at 5 mo and at 9 mo of age
| At presentation (5 mo) | At 9 mo | Normal range | |
| Hemoglobin | 4 g/dL | 11.7g/dL | 10.5-12 |
| Post transfusion: 12 g/dL, | |||
| Retics count | 7% | 1.20% | 0.2-2% |
| MCV | 85 | 85 | 70-86 fl |
| Leukocyte count | 5600 | 16 000 | 6000-17 500/mm3 |
| Platelets | 192 000, 79 000, 100 000 | 390 000 | 150 000-400 000/mm |
| RBC blood morphology | Anisocytosis and normochromia | Anisocytosis and normochromia | |
| Total bilirubin | 3.5 | 3 | 0-24 mmol/L |
| Direct bilirubin | 1.5 | 1.13 | 0-5.1 mmol/L |
| ALT | 44 | 39 | 0-41 U/L |
| AST | 45 | 55 | 0-35 U/L |
| ALP | 235 | 410 | 180-1200 U/L |
| Total protien | 35 | 56 | 60-87 g/L |
| Albumin | 17.3 | 38.8 | 34-48 g/dL |
| Urea | 1 | 1.7 | 3.3-6.4 mmol/L |
| Creatinine | 13 | 19 | 62-106 mmol/L |
| Pancreatic amylase | 2.96 | 15 | 13-53 U/L |
| Pancreatic lipase | 10 | 20 | 13-60 U/L |
| FT4 | 9.28 | 11.55 | 13.9-26.1 pmol/L |
| TSH | 17.8 | 6.43 | 1.4-8.8 ulU/mL |
| Serum iron | 88.39 | 157 | 60-170 mg L/dL |
| Total iron binding capacity | 120 | 106 | 100-400 mg/dL |
| Serum ferritin | 1260 (repeated BT) | 7-140 ng/mL | |
| Serum folate level | 20 | 15-55 ng/mL | |
| Serum vitamin B12 level | 252 | 197-866 pg/mL | |
| Insulin | 0.2 | 2.6-24.9 Uu/mL | |
| Bone marrow results (normal) | Erythropoiesis, granulopoiesis, and lymphopoiesis are normal cellularity and maturity and megakaryocytes are present | The same result | |
| Hemoglobin electrophoresis | Normal |
MCV: Mean corpuscular volume; RBC: Red blood cell; ALT: Alanine aminotransferase; AST: Aspartate aminotransferase; ALP: Alkaline phosphatase; FT4: Free Thyroxine; TSH: Thyroid-stimulating hormone; BT: Blood transfusion.