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Medicine General 155b584a

A nine month old boy of Sindhi parents presented to you with complaints of pregressive lethargy, irritability & pallor since 6 months of age. Examination revealed severe pallor. Investigation showed Hb-3.8 mg%; MCV-58 fl; MCH-19.4 pg/ cell. Blood film shows osmotic fragility is normal (target cells and normoblasts). X-ray skull shows expansion of erythroid marrow. Which of the following is the most likely diagnosis -

A
Iron deficiency anemia
B
Acute lymphoblastic anemia
C
Hemoglobin D disease
D
Hereditary spherocytosis
High-Yield Explanation
No explanation provided.

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