Cold hands point to red cells lysis
Bob, 84, was referred for investigation and management of his long-standing anaemia.
Apparently, he had been diagnosed with ‘cold anaemia' almost 20 years previously, which resulted in his moving from Melbourne to Queensland.
Bob recently had a skin cancer surgically removed and repaired with a skin graft.
However, the graft had failed and it was discovered his Hb level had fallen to 65g/L (NR: 110-160g/L).
On examination, Bob was noted to have mild cognitive impairment. On his forehead there was a 0.7×0.5cm skin deficit exposing