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A 10-year-old boy presented to hospital with a 4-week history of lethargy and dyspnoea. There was no definite history of gastrointestinal bleeding. On examination, the patient was pale and breathless, with a soft abdomen and no palpable masses. Laboratory results showed microcytic anaemia, with a haemoglobin concentration of 4.7 g/dl and a mean corpuscular …
Competing interests: None declared.
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