Case 19 – the beginning

Welcome back to TeamHaem

You have a  patient with chronic pancytopenia due to myelodysplasia attending the day unit because of temperatures.  She is 69 years old and has suffered from myelodysplasia for the past 7 years.  Myelodysplasia is a malignant clonal stem cell disorder characterised by dysplastic changes on bone marrow examination and results in ineffective haematopoiesis causing varying degrees of panctopenia.  Her normal full blood count approximately: Hb 90g/L, platelets 100×10*9/L and neutrophils 0.9×10*9/L.  Her haemoglobin is supported by a transfusion programme, with approximately 2 units of packed red cells every two months.

Questions:

  • What is your approach in this patient?
  • Are you concerned?
  • Any investigations?

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

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This entry was posted in Anaemia, Bone marrow failure, Transfusion and tagged , . Bookmark the permalink.

4 Responses to Case 19 – the beginning

  1. Pingback: Case 19 – update 1 | TeamHaem

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