inhibitor and repeat haematinics (Hb plus), his prior haemoglobin of 3.8 g/dL failed to improve. His past medical history included three years of chronic headaches. At that time, he had also complained of anal pruritus and investigations revealed iron deficiency anaemia and giardiasis. Haemoglobin (Hb) was 3.3 g/dL. He received metronidazole and oral iron therapy and after a few months, his subsequent haemoglobin was 8 g/dL. He subsequently defaulted from follow-up.He had no chronic illnesses, no known significant family history and was a non-smoker. On examination, he was asthenic and pale. General examination revealed no lymphadenopathy. Cardiorespiratory examination was normal. On abdominal examination, a liver span of 12 cm was noted. Digital rectal examination was negative for any masses and blood. Neurological examination was normal. He was assessed and admitted for inpatient evaluation. During this admission, investigations revealed:C Hb 3.8 (14-17) g/dL, mean corpuscular volume (MCV) 63 (80-95) fl, white blood cells 15.1 (4-10) x 10 9 /L, platelets 1618 (150-400) x 10 9 /L, absolute reticulocyte count 19.4 (23-90) x 10 9 /L C Blood film showed hypochromasia, microcytosis, fragmented red blood cells, giant platelets and thrombocytosis
Adenomatous Polyposis in a Young Jamaican Male of African Descent
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.