Clinical Laboratory Hematology 3rd Edition by Shirlyn McKenzie, Lynne Williams

تمرين 13

A 75-year-old man presents to the physician with complaints of weakness and fatigue. His leukocyte count is elevated, and his hemoglobin is 60 g/L. The peripheral blood smear shows that a majority of the cells are small, mature lymphocytes. The diagnosis is CLL. Spherocytes are present. The physician suspects hemolytic anemia, and laboratory tests suggest a hemolytic process with an increase in reticulocytes and bilirubin. Based on this information, what is the most likely problem? (Objective 8)
A) secondary CAD
B) secondary PCH
C) secondary WAIHA
D) secondary cold agglutinins