A 60-year-old industrial worker presents with shortness of breath for the past week. Blood withdrawn shows thick brownish red Color. Diagnosis?: (A) Sickle cell anemia, (B) Hemolytic anemia, (C) Meth-hemoglobinemia, (D) G-6-P-deficiency
Answer is C. Ans. C. Meth-hemoglobinemia* Sickle cell anemia has a pediatric presentation.* Hemolytic anemia will cause pallor and not brown discoloration of blood.* In G6PD in event of intravascular hemolysis the hemoglobinuria will cause a black urine. Therefore, by exclusion the answer is meth-hemoglobinuria.