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NBME 24 Answers
A 9-year-old boy who was adopted from an African ...
Also the MCV was normal, not megaloblastic like you would see in B12 deficiency
Can anyone explain why the serum lactate dehydrogenase (LDH) level was elevated?
Vitamin E is an antioxidant. Thus a deficiency can cause hemolytic anemia.
@karljeon Intravascular hemolysis = LDH release from RBCs