Image Based Question-65301

Question

A 32-year-old woman reported to the clinician with “her face” as shown in the picture below. On physical examination, she appears pale and has slightly yellow sclerae and an enlarged spleen. Blood tests reveal severe anemia and mild, mostly unconjugated, hyperbilirubinemia. Coombs test is positive at 37 C but negative at 0-4 C. This patient developed anemia because of?

A. Bone marrow aplasia.

B. IgG directed against red blood cells.

C. IgM directed against red blood cells.

D. Renal failure.

 

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