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Pediatrics
A nine-month-old boy of Sindhi parents presented to you with complaints of progressive lethargy, irritability and pallor since 6 months of age. Examination revealed severe pallor. Investigation showed Hb-3.8 g%; MCV- 58 fL, MCH-19.4 pg/cell. Osmotic fragility is normal; Blood film shows target cells and normoblasts. X-ray skull shows expansion of erythroid marrow. Which of the following is the most likely diagnosis:
Iron deficiency anemia
Acute lymphoblastic anemia
Hemoglobin D disease
Hereditary spherocytosis
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