Table 1.
Hematology profile of the patient at the time of presentation, after cessation of zinc and after copper supplementation
| Blood parameter (reference range) | At presentation | After zinc withdrawal (2 weeks after diagnosis) | After copper supplementation (4 weeks after diagnosis) | After copper supplementation (8 weeks after diagnosis) |
|---|---|---|---|---|
| Hemoglobin (13–16 g/L) | 5.8 g/L | 8.9 g/L | 10.5 g/L | 13.6 g/L |
| RBC count (4.5–5.3 × 106/cumm) | 1.9 × 106/cumm | 3.1 × 106/cumm | 4.0 × 106/cumm | 5.3 × 106/cumm |
| Mean corpuscular volume (78–98 fL) | 94 fL | 88.7 fL | 83.5 fL | 76.5 fL |
| Leucocyte count (4.5–10.5 × 109/L) | 1.4 × 109/L | 2.7 × 109/L | 5.1 × 109/L | 6.3 × 109/L |
| Platelet count (150–400 × 109/L) | 243 × 109/L | 322 × 109/L | 428 × 109/L | 296 × 109/L |
| Neutrophil count (1.9–3.3 × 109/L) | 0.46 × 109/L | 0.83 × 109/L | 1.84 × 109/L | 3.23 × 109/L |
| Serum zinc level (72.6–127 µg/dL) | 438.4 µg/dL | NA | 246.2 µg/dL | 257.4 µg/dL |
| Serum copper (70–140.0 µg/dL) | 31.0 µg/dL | NA | 63 µg/dL | 19.0 µg/dL |
NA Not available