Lead poisoning as final diagnosis in a study of normocytic anemia
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A 30-year-old female surgeon was referred for evaluation of normocytic anemia of 3-month duration, which was detected following inoculation in the operating room.
Complete blood count revealed normocytic anemia. Her hemoglobin level was 9.5 g/dl, red blood cells 3.01 × 106/µl, packed cell volume 0.27 L/L, and mean corpuscular volume 90.4 fl. White blood count was 7.6 × 103/µl with 61.5% neutrophils (4.7 × 103/µl), 26.2% lymphocytes (2 × 103/µl), and 9% monocytes (0.7 × 103/µl). Platelets were also normal (344 × 109/L). Basophilic stippling was evident in some erythrocytes on a blood smear stained with May–Grunwald–Giemsa stain (Fig. 1).
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Conflict of interest
The authors declare that they have no conflicts of interest.