Young and tired: rule out anaemia

THERE is nothing else remarkable in the history and there are no significant findings on clinical examination.

Routine biochemistry profile is normal but the full blood count shows the following abnormalities:

Hb        96 g/L     (115–160)

MCV     77 fL       (80–98)

Smear shows microcytes and a few target cells.

Most young women with mild anaemia and microcytosis are going to have iron deficiency anaemia and this will need to be ruled out by doing iron studies.