This week’s free board review question…
A 42-year-old woman has had morning stiffness in multiple joints as well as redness and swelling. She has felt fatigued and has had a low-grade fever. On examination, she has synovitis, most prominently in her hands. Her erythrocyte sedimentation rate is elevated. Her white blood cell count is normal, but she is anemic, with a hemoglobin level of 9 g/dL. The reticulocyte count is 1.5%.
The smear shows normochromic, normocytic red blood cells (RBCs). Her ferritin level is elevated. Her iron level is normal, but her total iron-binding capacity and saturation percentage are both diminished.
Which of the following types of anemia is most probable in this patient?
anemia of chronic disease
iron deficiency anemia
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