system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 7-year-old boy is brought to the pediatrician by his parents for concern of general fatigue and recurrent abdominal pain. You learn that his medical history is otherwise unremarkable and that these symptoms started about 3 months ago after they moved to a different house. Based on clinical suspicion labs are obtained that reveal a microcytic anemia with high-normal levels of ferritin. Examination of a peripheral blood smear shows findings that are demonstrated in the figure provided. Which of the following is the most likely mechanism responsible for the anemia in this patient?
assistant
Inhibition of ALA dehydratase and ferrochelatase