A patient reports with dyspnoea on slight exertion. He also has multiple petechial spots and spontaneous hemorrhage. His RBC count is less than one lakh/mm3 His hematocrit and hemoglobin is low. Most probable diagnosis is______________?
Correct answer: B. Aplastic anemia
- A. Pernicious anemia
- B. Aplastic anemia
- C. Thalassemia
- D. Sprue
Explanation
Severe anaemia with petechiae and spontaneous bleeding suggests pancytopenia from aplastic anaemia, in which bone-marrow failure reduces red cells, white cells and platelets. Pernicious anaemia and thalassaemia do not typically produce this combination of bleeding and profound marrow failure.
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