Anaemia in Waldmann’s disease: A rare presentation of a rare disease

Table 1 Laboratory results for the patient

Test	Result	Normal reference
Complete blood count
Hemoglobin	5.2 g/dL	12-18 g/dL
HCT	18.30%	37%-51%
MCV	70.2 pg	80-97 flpg
MCHC	28.4 g/dL	31-36 g/dL
Platelets	284	140-440 cell/cm3
WBCs	3.8	4.1-10.9 cell/cm3
Lymphocytes	500	600-1400
Blood film
Hypercellular bone marrow with no blast cells
Blood chemistry
s. Albumin	2.1 g/dL	3.5-5 g/ dL
AST	30 IU/L	Up to 40 U/L
ALT	25 IU/L	Up to 45 U/L
s. cholesterol	107 mg/dL	Up to 200 mg/dL
s. triglyceride	54 mg/dL	Up to 160 mg/dL
s. iron	23 ng/dL	28-170 ng/dL
s. ferritin	12 ng/mL	40-430 ng/mL
TIBC	750 ng/dL	261-478 ng/dL
s. TSH	1.2 mIU/L	0.3-3.04 mIU/L
Stool tests
Occult blood	Positive
α-1 AT clearance	2 folds above normal range

HCT: Hematocrit; MCV: Mean corpusclar volume; MCHC: Mean corpuscular hemoglobin concentration; WBCs: White blood cells; AST: Aspartate aminotransferase; ALT: Alanine aminotransferase; TIBC: Total iron binding capacity; TSH: Thyroid stimulating hormone; α-1 AT: Alpha 1 antitrypsin.