An 18-year-old boy had a complete blood count (CBC) performed as part of a college physical examination. He was asymptomatic. CBC was remarkable for mild anemia with a hemoglobin level of 12 g/dL and mean corpuscular volume that was quite low at 65 fL. He denied any hematochezia, melena, or hematuria, and his urinalysis finding was normal. Iron levels, ferritin level, total iron-binding capacity, and transferrin saturation levels were normal.
On hemoglobin electrophoresis, the patient is found to have reduced hemoglobin A levels (2 alpha chains and 2 beta chains) and increased levels of hemoglobin A2 (2 alpha chains and 2 delta chains).
Which of the following is the appropriate management approach for this patient’s anemia?
This question appears in Med-Challenger Physician Assistant Exam Review with CME
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