Anemia Classification · Pathology

A patient with chronic rheumatoid arthritis develops anemia. Lab results show a low TIBC and high Serum Ferritin. This fits the profile of:

  1. Iron deficiency anemia
  2. Anemia of chronic disease
  3. Pernicious anemia
  4. G6PD deficiency
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Correct answer: Anemia of chronic disease

Anemia of chronic disease is often normocytic but can become microcytic. It is characterized by high ferritin (an acute phase reactant) and low TIBC, as hepcidin prevents the release and transport of iron despite adequate body stores.

Difficulty: Medium Question 8 of 20

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