Conclusion
This case emphasizes that all patients with unknown disease should be
evaluated in terms of PBS at the first work up and the PBS in all
patients (hematologic and non- hematologic) should be reviewed
systematically regarding all blood elements. Lead poisoning is more
common than our estimation. As clinical manifestations are non-specific
and may be misdiagnosed with other pathophysiological conditions, at
least it should be included in differential diagnosis lists of adult
unexplained anemia (especially in the setting of matched clinical data)
and basic initiative laboratory tests such as PBS could rule out the
need for invasive, expensive and time consuming procedures.
List of
abbreviations
Mean cell volume: MCV, Mean cell hemoglobin: MCH, Mean cell hemoglobin
concentration: MCHC, Red-cell–distribution width: RDW, Myelodysplastic
syndrome: MDS, Complete blood count: CBC, Peripheral blood smear: PBS,
Blood urea nitrogen: BUN, Aspartate aminotransferase: AST, Alanine
aminotransferase: ALT, Alkaline phosphatase: ALP, Erythrocyte
sedimentation rate: ESR, White blood cell: WBC, Platelet: PLT,
Hemoglobin: HB, Bone marrow: BM, Lactate dehydrogenase: LDH, Creatinine:
Cr.