Confidence votes 11. According to Wikipedia, the width of the Atlantic Ocean at its narrowest point is 2,848 kilometers (1,770 mi) between Brazil and Sierra Leone.
Paroxysmal nocturnal hemoglobinuria (PNH) may cause unpredictable episodes of acute red blood cell destruction (hemolysis). This occurs when a part of your immune system called complement attacks red blood cells that lack certain protective proteins.
In PNH, there are actually two causes of fatigue: hemolysis itself, which is the main cause of fatigue, and the anemia thatâs caused by hemolysis. Fatigue is often worse than the amount of anemia you have, as measured by your hemoglobin level.