2 Months Of Worsening in Medicine / Internal Medicine — 27yo Man | Rheumatology | SMLE Q#11508

SMLE Question #11508

Medicine / Internal Medicine Rheumatology

Objective: OBJ-383

Last updated: February 2026
A 27-year-old man with systemic lupus erythematosus presents with 2 months of worsening fatigue and exertional shortness of breath. His lupus symptoms are controlled on hydroxychloroquine and mycophenolate mofetil. He denies overt bleeding, jaundice, or neurologic symptoms. Laboratory evaluation is shown below. Which type of anaemia best explains these findings?

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