A man with anemia and a change in personality

A 63-year-old man presented with symptoms of anemia. The only other symptom of note was some change in personality with unusually aggressive behavior. His blood count was as follows: hemoglobin 65 g/L, white blood cell count 6.5 × 109/L (normal differential count), and platelet count 509 × 109/L. The blood film (panel A) was leukoerythroblastic with target cells and marked basophilic stippling. Liver function test results and hematinics were normal.

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A man with anemia and a change in personality

Source: Blood
Image credits: ASH image bank