title: Pediatric hyperfibrotic myelodysplasia: an unusual clinicopathologic entity.
abstract: This study is presented to highlight a rare pediatric bone marrow pathology in which features of bone marrow dysplasia coexist with severe fibrosis in a clinical setting of fever, anemia, and organomegaly. Fourteen children (nine males, five females) clinically presented with fever, anemia, and hepatosplenomegaly. Extensive bone marrow fibrosis with dysplastic features was seen in their marrow precursor cells. Peripheral blood smears showed teardrop poikilocytes thrombocytopenia, and occasional blasts. In conclusion, pediatric hyperfibrotic myelodysplasia is a distinct clinicopathologic entity. Myeloproliferative and dysmyelopoietic syndromes are complex disorders that are interrelated and not always easily diagnosed only on morphologic grounds.
authors.affiliation: Department of Haematology, Christian Medical College and Hospital, Tamil Nadu, India.
authors.forename: S
authors.initials: S
authors.lastname: Sahu
authors.forename: S S
authors.initials: SS
authors.lastname: Shah
authors.forename: A
authors.initials: A
authors.lastname: Srivastava
authors.forename: D
authors.initials: D
authors.lastname: Dennison
authors.forename: M
authors.initials: M
authors.lastname: Chandy
mesh_terms: D000293:Adolescent; D001853:Bone Marrow / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005355:Fibrosis; D006801:Humans; D007223:Infant; D008297:Male; D009190:Myelodysplastic Syndromes / Q000503:physiopathology*