A child with myelodysplastic syndrome with hypocellular fibrosis.
A 9-year-old girl with intractable anemia, rare mucocutaneous bleeding, and pallor was presented. Hemoglobin was 49 g/L; reticulocyte 0.79%, mean corpuscular volume 81 fL, platelet 37×10⁹/L; white blood cell count 3.2×10⁹/L with dysmorphic cells in peripheric blood. Further evaluation revealed 10% cellularity with grade IV reticulin fibrosis, immature, and/or dysplastic hematopoietic cells without sideroblasts, or blast increase in biopsy, Monosomy 8 was found in bone marrow aspiration material using FISH. Vitamin B12, folic acid, hemoglobin electrophoresis, immunoglobulin levels, CD55, CD59, complement 3, 4, abdominal ultrasonography, chest x-ray were normal; diepoxybutane, acid ham, sucrose lysis tests, viral serologies, antinuclear antibody, anti DNA were negative. On diagnosis of "Myelodysplastic Syndrome-refractory cytopenia with hypocellular fibrosis," she received a successful allogeneic BM transplantation from her full matched sibling.
Akyay
Arzu
A
Division of Pediatric Hematology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.
Olcay
Lale
L
Kuzu
Işınsu
I
Bozdoğan
Nazan
N
Ünal-İnce
Elif
E
İleri
Talia
T
Tükün
Ajlan
A
Yürür-Kutlay
Nuket
N
D000740:Anemia / Q000473:pathology* / Q000628:therapy; D016026:Bone Marrow Transplantation; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009190:Myelodysplastic Syndromes / Q000473:pathology* / Q000628:therapy; D055728:Primary Myelofibrosis / Q000473:pathology* / Q000628:therapy