Table 2 Hematological and biochemical investigations

Full blood count

Hb 8.7 (MCV 93.2, MCH 29.7) g/dL

WBC 9.4 × 1000/μL

Plt 398 × 1000/μL

12–16 g/dL

4–10 (× 1000/μL)

150–450 (× 1000/μL)

Peripheral blood smear

Oval and round macrocytes with normocytic normochromic cells

Few hypersegmented neutrophils

Platelets: normal in number and morphology

Suggestive of vitamin B12/folate deficiency ± anemia of chronic disease

(Levels were not done due to unavailability of reagents)

Erythrocyte sedimentation rate

125→112→120→96 mm/hour

(T0) (T0 + 2 years ) (T0 + 3 years) (T0 + 3 years )

(15 mm/hour)

Serum sodium

137 mmol/L

135–145 mmol/L

Serum potassium

4.7 mmol/L

3.5–5 mmol/L

Serum creatinine

1.1 mg/dL

0.7–1.2 mg/dL

Serum calcium

mg/dL

8.6–10.2 mg/dL

Serum magnesium

mg/dL

1.8–2.6 mg/dL

Serum phosphate

3.2 mg/dL

2.8–4.5 mg/dL

Aspartate transaminase

23 U/L

14–20 U/L

Alanine transaminase

20 U/L

29–33 U/L

Alkaline phosphatase

80 U/L

44–147 U/L

Gamma glutamyl transferase (GT)

32 U/L

0–35 U/L

Total bilirubin

mg/dL

0.1–1.2 mg/dL

Serum albumin

3.6 g/dL

3.4–5.4 g/dL

Serum globulin

3.1 g/dL

2–3.5 g/dL

Serum amylase

52.4 U/L

30–110 U/L