Hi doctor, The patient is a 27 year old female who has been suffered from hay fever for some years. Now, she has now been referred to the Chest Clinic with breathing difficulties. She has commented that her condition appears to worsen when she visits her friend, who is a cat owner. On examination, she has wheezing sounds in her lungs and inflamed sinuses. Her Hb is low, and eosinophil count is high, but other WBC differential counts, platelets and MCV are normal. I was unsure if the hemoglobin being low is seen with allergies or this could be a wholly separate matter. Are the high level of eosinophil and low Hb related to visit of the cat or indicate something else?
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