MS-2822

MS-2822

A 42-year-old woman presents with symptoms of fatigue, palpitations, and shortness of breath on exertion. She has recently been ill with an upper respiratory tract infection. During the examination, you observe that she has conjunctival pallor, and her sclera are icteric.

After conducting investigations, a positive Coombs test leads to a diagnosis of autoimmune haemolytic anaemia. This condition results in the breakdown of red blood cells, causing an increase in free haemoglobin levels in the blood.

What mechanisms will be involved in recycling the elevated levels of this substance?