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question - ddagoons
#1
A 17 yo male presents with passage of dark urine.he has had multiple bacterial infections over several years and has history of venous thromboses, including portal vein thrombosis in the previous year. a CBC shows a Hb conc of 9.8g/dl, Hct of 29.9%, MCV of 98fL, platelets 150000/uL, and WBC 3800/uL, with a differential count of 29 segment neutrophils, 1band, 64 lymphocytes, 10 monocytes and 1 eosinophil. he has a reticulocytosis. serum haptoglobin level is very low. a mutation in which of the following gene products could give rise to this clinical condition?
A) spectrin
B) Glucose 6 Phosphate Dehydrogenase
C) Phosphatidylinositol glycan A
D) B-globin chain
E) Factor V

will be back in a few hours with the answer. enjoy
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#2
PNH and answer is C
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#3
C is the answer
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#4
yes guys. correct answer is C
thanks for participating
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#5
can u please explain ddagoons
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#6
@stranger: portal vein thrombosis + hematuria+hemolysis panel (reticulocytosis+low haptoglobulin,...)=paroxismal nocturnal hemoglobinuria
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