PMCH and anemia (phenotype): Anemia was macrocytic and normochromic, as evidenced by the elevated concentration of MCV (103.6 fL, reference of 83.6–98.2 fL), and the normal concentrations of MCH (33.1 pg, reference of 27.5–33.2 pg) and MCHC (31.9%, reference of 31.7–35.3%).