International Journal of Hematology (2018) 107:387–389 https://doi.org/10.1007/s12185-017-2374-2 IMAGES IN HEMATOLOGY Marked erythroblastosis in myelodysplastic syndrome induced by gastric hemorrhaging 1 2 1 1 Sakiko Yoshimura · Wataru Munakata · Chiaki Ikeda · Hiromichi Matsushita Received: 28 September 2017 / Revised: 16 November 2017 / Accepted: 22 November 2017 / Published online: 29 November 2017 © The Japanese Society of Hematology 2017 Keywords Myelodysplastic syndrome · Erythroblastosis · Erythropoietin A 64-year-old man with fatigue was found to exhibit pancy- 31 × 10 /L with platelet transfusion and leukocyte count of topenia, with a hemoglobin level of 8.6 g/dL, reticulocyte 1.0 × 10 /L with 1% blasts. The serum erythropoietin level count of 2.16%, platelet count of 26 × 10 /L, and leukocyte decreased to 23.8 mIU/mL. The percentages of blasts and count of 2.5 × 10 /L with 3% blasts. A bone marrow exami- erythroid cells in the bone marrow were 12.2 and 43.0%, nation revealed 12.4% blasts and 48.4% erythroid cells with respectively, which were the same differentials as those seen dysplasia in the myeloid and erythroid series, resulting in a at the time of diagnosis (Fig. 1c). diagnosis of myelodysplastic syndrome with excess blasts-2 This case illustrates the excessive response of abnormal (MDS-EB2) (Fig. 1a). After 2 months without treatment, he hematopoietic progenitors to an elevated serum erythropoi- developed tarry
International Journal of Hematology – Springer Journals
Published: Nov 29, 2017
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