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Lead poisoning as final diagnosis in a study of normocytic anemia

  • Valle Recasens
  • Angeles Montañés
  • Eduardo Bustamante
Images in Hematology

A 30-year-old female surgeon was referred for evaluation of normocytic anemia of 3-month duration, which was detected following inoculation in the operating room.

Complete blood count revealed normocytic anemia. Her hemoglobin level was 9.5 g/dl, red blood cells 3.01 × 106/µl, packed cell volume 0.27 L/L, and mean corpuscular volume 90.4 fl. White blood count was 7.6 × 103/µl with 61.5% neutrophils (4.7 × 103/µl), 26.2% lymphocytes (2 × 103/µl), and 9% monocytes (0.7 × 103/µl). Platelets were also normal (344 × 109/L). Basophilic stippling was evident in some erythrocytes on a blood smear stained with May–Grunwald–Giemsa stain (Fig. 1).

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Reference

  1. 1.
    Kosnett MJ, Wedeen RP, Rothenberg SJ, Hipkins KL, Materna BL, Schwartz BS, et al. Recommendations for medical management of adult lead exposure. Environ Health Perspect. 2007;115(3):463–71.CrossRefPubMedGoogle Scholar

Copyright information

© Japanese Society of Hematology 2018

Authors and Affiliations

  1. 1.Hematology DepartmentMiguel Servet University HospitalZaragozaSpain
  2. 2.Emergency ServiceMiguel Servet University HospitalZaragozaSpain

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