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 or PNH is a rare and chronic disease that results in an abnormal breakdown of red blood cells. PNH is due to a spontaneous genetic mutation that causes red blood cells to be deficient in a protein, leaving them fragile.
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.