14 year old girl gall stone splenomegaly Hb 7 gm%, Reticulocyte 3.2%, TLC 3,400/cmm, platelet normal, hypochromia (low mch), microcytosis (low mcv), anisocytosis, poikilocytosis, ovalocytosis, RDW abnormally high, LDH abnormally high. ESR 45 mm 1st hour. What may be the probable diagnosis?
|