18th July 2023

A 52-year-old woman with a 6-month history of fatigue and shortness of breath undergoes upper GI endoscopy

A 52-year-old woman with a 6-month history of fatigue and shortness of breath undergoes upper GI endoscopy. She has a background of vitiligo and Addison’s disease. On endoscopy, the stomach has flattened rugal folds and visible submucosal vessels. Biopsy of the stomach reveals intestinal metaplasia with very few parietal cells seen.

What are you most likely to see on this woman’s blood film report?

Select the SINGLE most appropriate option from the list below. Select ONE option only.