| Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc |
| Journal website https://www.journalmc.org |
Case Report
Volume 13, Number 11, November 2022, pages 557-560
A Rare Presentation of Pernicious Anemia Manifesting as Disseminated Intravascular Coagulation
Table
| Test | Admission | Tx day 1 | Tx day 2 | Tx day 3 | Discharge | 1 week follow-up | 1 month follow-up | Reference range |
|---|---|---|---|---|---|---|---|---|
| A timeline of this patient’s objective lab findings was shown during her hospital course and at two subsequent follow-up appointments after the appropriate treatment was started. Tx: treatment; Hb: hemoglobin; MCV: mean corpuscular volume; Plt: platelet; LDH: lactate dehydrogenase; Cr: creatinine; PT: prothrombin time. | ||||||||
| Hb (g/dL) | 4.3 | 9.7 | 9.3 | 10.1 | 10.0 | 10.7 | 10.4 | 11.5 - 16 |
| MCV (fL) | 138 | 104 | 106 | 106 | 108 | 107 | 98.6 | 78 - 100 |
| Plt (× 103/µL) | 76 | 50 | 50 | 68 | 115 | 548 | 272 | 130 - 450 |
| Reticulocyte | 11.1% | |||||||
| PT (s) | 13.2 | 12.8 | 12.2 | 13.2 | 13.7 | |||
| D-dimer (ng/mL FEU) | 5,564 | ≤ 500 | ||||||
| Cr (mg/dL) | 2.37 | 1.53 | 1.49 | 1.39 | 1.19 | 0.99 | 1.26 | 0.60 - 1.40 |
| LDH | 2,008 | |||||||
| B12 (pg/mL) | < 150 | 1,345 | 232 - 1,245 | |||||