| Literature DB >> 23839610 |
Jaskirat Randhawa1, Sarah L Ondrejka, Sebouh Setrakian, Harris Taylor.
Abstract
Vitamin B12 deficiency is a well recognised cause of macrocytic anaemia and bone marrow failure. Bone marrow aspiration/biopsy is infrequently indicated for the diagnosis in this setting. However, if a bone marrow aspiration/biopsy is performed, it is important to recognise that it may show dysplastic changes mimicking myelodysplastic syndrome (MDS) or acute leukaemia. We report a case of a 66-year-old non-vegetarian man presenting with generalised weakness for 1 month and misdiagnosed on bone marrow biopsy as MDS. However, laboratory investigations revealed severe deficiency of vitamin B12. Four weeks after starting vitamin B12 replacement the patient's complete blood counts reverted to normal.Entities:
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Year: 2013 PMID: 23839610 PMCID: PMC3736209 DOI: 10.1136/bcr-2013-010200
Source DB: PubMed Journal: BMJ Case Rep ISSN: 1757-790X