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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 338:453-461 February 12, 1998 Number 7
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Case 5-1998— A 51-Year-Old Man with Myelodysplasia and a Pulmonary Infiltrate
Gerard B. Hayes, and Eugene J. Mark

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Presentation of Case

A 51-year-old man with refractory anemia and excess blasts in transformation was admitted to the hospital because of fever, dyspnea, and a pulmonary infiltrate.

The patient had been well until 21 months earlier, when unexplained bruising developed. Nine months before admission, mild thrombocytopenia was discovered on evaluation for arthroscopic surgery. Laboratory tests were performed (Table 1). Microscopical examination of a bone marrow–biopsy specimen revealed normocellular marrow with dyserythropoiesis and dysmegakaryocytopoiesis. The patient received no treatment. Five and a half months before admission, laboratory tests were performed (Table 1). Two months later, the patient returned to the . . . [Full Text of this Article]

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Related Letters:

Case 5-1998: Bone Marrow Blasts in Chronic Myelomonocytic Leukemia
Bennett J. M., Hayes G. B.
Extract | Full Text  
N Engl J Med 1998; 338:1925-1926, Jun 25, 1998. Correspondence

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