A 9-year-old boy presents with his parents to the pediatrician for a yearly check-up. The patient’s mother notes that over the last few months her son has seemed increasingly fatigued. His growth curves are significant for head circumference at the 9th percentile, height at the 4th percentile, and weight at the 20th percentile. Vitals are notable for mild tachycardia, normotension, and normothermia. Physical examination is notable for low set ears, hypoplastic thumbs, and several large hypopigmented skin lesions.
Which of the following hematologic findings is most likely present in this patient?
- A) Increased HgbS
- B) Normocytic anemia with eosinophilia
- C) Pancytopenia
- D) Pure red cell aplasia
- E) Thrombocytopenia with hemolytic anemia
Dr. Ted O'Connell