title: Case 40. Misdiagnosis of refractory macrocytic anemia.
abstract: A diagnosis of myelodysplastic syndrome, refractory anemia subtype, was made in an elderly Indian woman on the basis of a refractory macrocytic anemia with normal vitamin B(12) and folate assays, normal thyroid function, essentially normal liver function and normal cytogenetic analysis. Disease evolution revealed that the diagnosis was erroneous.
authors.affiliation: Department of Haematology, St Mary's Hospital, London, UK.
authors.forename: Kate
authors.initials: K
authors.lastname: Stringaris
authors.forename: Barbara
authors.initials: B
authors.lastname: Bain
mesh_terms: D000368:Aged; D000748:Anemia, Macrocytic / Q000175:diagnosis*; D000752:Anemia, Pernicious / Q000175:diagnosis*; D000753:Anemia, Refractory / Q000175:diagnosis*; D003951:Diagnostic Errors; D014676:Diet, Vegetarian; D005260:Female; D006801:Humans; D009190:Myelodysplastic Syndromes / Q000175:diagnosis*; D014805:Vitamin B 12 / Q000097:blood
chemical_list: D014805:Vitamin B 12