case-1 A healthy 48-year-old female of African descent is referred to hematology clinic for evaluation of refractory mic

[answerhappygod]

case-1
A healthy 48-year-old female of African descent is referred to
hematology clinic for evaluation of refractory microcytic
anemia.
She has been treated with oral iron formulations many times
throughout her life.
Hemoglobin values have always ranged from 10-11 g/dL with a mean
corpuscular volume (MCV) ranging from 69-74 fL.
She has no other prior medical history.
Her examination is entirely unremarkable.
Peripheral blood smear is significant for microcytosis, mild
anisopoikilocytosis, and a small number of target cells.
The hemoglobin concentration is 10 g/dL with an MCV of 71 fL and
mean corpuscular hemoglobin (MCH) of 23 pg.
Additional laboratory studies include a transferrin saturation
of 32% and ferritin of 285 ng/mL.
• Hemoglobin electrophoresis reveals hemoglobin A 98% and
hemoglobin A2 1.8%.
What:
1-Possible case monitoring?
2-Possible case diagnosed?
3-Evidences from labs, symptoms, other methods of diagnosis to
confirm your suggested diagnoses?
4-Recommendation for treatment and control symptoms?