Case 14-1968

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Abstract
Presentation of Case First admission. A twenty-one-year-old Italian man entered the hospital because of intermittent jaundice of long duration and recent dyspnea and ankle edema.For many years he had been aware of a yellow tint of his skin but had noticed no discoloration of the urine or stools. One month before entry there was the onset of swelling of the ankles and dyspnea on exertion.The patient's father had died as a result of leukemia. The diagnosis of thalassemia trait in his mother was subsequently made on the basis of typical blood morphology and an elevation of A2 . . .

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