TY - CHAP M1 - Book, Section TI - ANEMIAS ASSOCIATED WITH A REDUCED ERYTHROPOIETIN RESPONSE A1 - Hillman, Robert S. A1 - Ault, Kenneth A. A1 - Leporrier, Michel A1 - Rinder, Henry M. PY - 2016 T2 - Hematology in Clinical Practice, 5e AB - CASE HISTORY • Part 1A 66-year-old woman presents with more than 6 months of pain and stiffness of the muscles of the neck, shoulders, and lower back. Within the past 2 weeks, she has also suffered from recurrent headaches, unresponsive to aspirin, acetaminophen, and nonsteroidals. Review of systems is negative for collagen vascular disease or vasculitis, but she has had a 10–15 lb weight loss, and is a heavy smoker. Examination is notable for sallow complexion and depressed mood. Neck and shoulder muscles are tender to palpation but no arthritic changes or temporal artery nodularity or tenderness are noted.CBC: Hematocrit/hemoglobin - 29%/9 g/dLMCV - 84 fL MCH - 30 pg MCHC - 30 g/dLRDW-CV - 14%WBC count - 9,500/μLPlatelet count - 210,000/μLSMEAR MORPHOLOGYNormocytic/normochromic, with minimal anisocytosis, no poikilocytosis, and no polychromasia.Reticulocyte count/index - 1.3%/<1Sedimentation rate - 115 mm/h (Westergren)C-reactive protein - 37 mg/LQuestionsHow should the anemia be described and classified, given the above data?What additional tests should be ordered? SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/03/28 UR - accessbiomedicalscience.mhmedical.com/content.aspx?aid=1127765399 ER -