In vivo haemolysis would seem to be indicated here.
> Dear All
>
> An elderly lady had a serum LDH of 12893 IU/L, all
> other tests including ALT, AST, CK, bilirubin, ALP and
> U/Es were normal. The serum sample had a brownish hue
> on inspection, not a normal serum look. The patient is
> anaemic (Hb 7.0 g/dL) and had mild thrombocytopaenia
> and leucopenia. Lymphomas usually produce less
> elevation of LDH (1000-2000 IU/L)!
>
> Any ideas about the source of this markedly raised
> LDH?
>
> Thanks
>
> Mohammad
>
>
> =====
> Dr. M A Al-Jubouri
> Consultant Chemical Pathologist
>
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