Case 40. Misdiagnosis of refractory macrocytic anemia.
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.
Stringaris
Kate
K
Department of Haematology, St Mary's Hospital, London, UK.
Bain
Barbara
B
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
D014805:Vitamin B 12