Case 4
History:
37 year old male.
Lifelong history of a seizure disorder, treated
since age two.
At a routine check with his neurologist, he
complained of fatigue, exertional dyspnea, and
lightheadedness over the past 2-3 months.
He appeared pale, but otherwise his physical
exam was within normal limits. He was found to
have a decreased hemoglobin, and was referred
to Hematology Clinic