Blood consult: paroxysmal nocturnal hemoglobinuria and its complications.

The article presents a case study of 24-year-old medical editor with persistent central epigastric pain accompanied by nausea and vomiting after returning from a business trip in Brazil in 2001. The patient was diagnosed with paroxysmal nocturnal hemoglobinuria (PNH) and was instructed to avoid oral contraceptives and pregnancy. She preferred to undergo immunosuppressive therapy instead of bone marrow transplantation after experiencing complications due to her unintended pregnancy.