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24th July 2024
A 28-year-old gentleman was advised to attend A&E due to abnormal outpatient bloods
A 28-year-old gentleman was advised to attend A&E due to abnormal outpatient bloods. He was seen by his GP due to fatigue and shortness of breath on exertion. He had a recent injury playing football and has been taking regular naproxen, but has no other past medical history or family history of note.
Bloods show:
| Hb (130 – 180 g/L) | 92 g/L |
| WCC (3.6 – 11.0 x 10⁹/L) | 5.2 x10⁹/L |
| Platelets (140 – 400 x10⁹/L) | 297 x10⁹/L |
| Bilirubin (<21 μmol/L) | 65 µmol/L |
| LDH (240–480 U/L) | 980 U/L |
| Blood film: | Spherocytes seen |
What is the most likely underlying cause?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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