This Case Wears Me Out: An Athlete With An Unusual Cause Of Exercise Intolerance - Page #3

Lab Studies:
WBC: 4.9
Hgb: 6.7
Hct: 19.4
Platelets: 11,000
MCV: 104
DIFF: neutrophils 80%, lymphocytes 7%, otherwise normal
RBC morphology: slight teardrop cells, polychromasia, schistocytes
CMP normal except total bilirubin: 4.1
Reticulocyte count: 17.0%
Absolute reticulocyte count: 320
D-dimer: 0.23
CK: 94
LDH: 495
ESR: 37
ANA, anti-DNA Ab, viral hepatitis panel, HIV, Monospot all negative
Direct Coombs test: positive

Other Studies:
CT chest/abdomen/pelvis showed mild splenomegaly, no lytic or sclerotic bone lesions; no enlarged lymph nodes were seen.
Bone marrow biopsy demonstrated mixed marrow elements with no evidence of increased blasts or abnormal lymphoid populations.


Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415

Website created by the computer geek