title: Cytopenia and Bone Marrow Dysplasia in a Case of Wilson's Disease.
abstract: We describe a sixteen year old with Wilson's disease on copper chelation and subsequent high dose oral zinc who developed severe anemia and neutropenia. Bone marrow aspirate done to evaluate the cause of bicytopenia revealed trilineage dysplasia. Correlating the clinical context with bone marrow and biochemical parameters, copper deficiency was suspected and he was given a trial of therapy, following which the hematological parameters improved. This case highlights hypocupremia as a reversible cause of bone marrow dysplasia in patients with Wilson's disease on chelation, where serum copper levels are not useful in the diagnosis. We also believe that monitoring of the blood counts in patients on copper chelation may provide a clue to impending copper deficiency.
authors.affiliation: Department of Pathology, MS Ramaiah Medical College, Bangalore, 560054 India.
authors.forename: Aarathi R
authors.initials: AR
authors.lastname: Rau
authors.affiliation: Department of Pathology, MS Ramaiah Medical College, Bangalore, 560054 India.
authors.forename: M
authors.initials: M
authors.lastname: Usha
authors.affiliation: Department of Paediatrics, MS Ramaiah Medical College, Bangalore, 560054 India.
authors.forename: Pooja
authors.initials: P
authors.lastname: Mallya
authors.affiliation: Department of Paediatrics, MS Ramaiah Medical College, Bangalore, 560054 India.
authors.forename: A T K
authors.initials: AT
authors.lastname: Rau
keywords: Bone marrow dysplasia; Cytopenia; Hypocupremia; Wilson’s disease