So far our investigations have shown:
- Normal haematinics
- Negative viral screen
- Negative autoimmune screen
- Blood film – no blasts/no dysplasia. Anisopoikilocytosis
- Normal LDH
- Negative abdominal ultrasound
Patient has no significant past medical history and is not taking any regular medications
A bone marrow is performed and bone marrow aspirate results are available:
Hypocellular particles and trails. Erythropoiesis, granulopoesis and megakarycytes appears reduced.
What is your differentials diagnosis? Are there any further investigations you would perform?