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Medicine General 28d48ebe

A 25 year old lady on treatment for rheumatoid ahritis has following lab findings: Hb-9gm/dl, MCV- 55fl, serum iron-30microgm/d1, ferritin 200 ng/ml, TIBC- 298 micrograms/dl. What is the most probable diagnosis?

A
Thalassemia minor
B
Thalassemia major
C
Anemia of chronic disease
D
Iron deficiency anemia
High-Yield Explanation
Answer C. Anemia of chronic diseaseE aicular manifestations of Rheumatoid Ahritis:* Subcutaneous nodules * Sjogren's syndrome* Pericarditis, Mitral regurgitation * Pleuritis, Interstitial Lung disease * Vasculitis * Felty's syndrome in the late stages of RA ; most common hematologic abnormality in RA- normochromic normocytic anemia.* Lymphoma

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