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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Severe Anemia. RBC Marked Anisopoikilocytosis. Bone Marrow Test Showing Drop In The WBC, RBC And Platelets. Any Further Tests?

a lab report done in 1995 showed that my red blood cells had marked anisopoikilocytosis with elliptocytes. I am and have severe iron anemia . this lab report was in connection to a bone marrow test that was done. I had another one (bone marrow tesst in 2000. Now my white cells count and red blood cell account continues to drop along with the platelet count. What type of tests should my doctor now think of doing. I am now 70 years old.
Sat, 29 Dec 2012
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General & Family Physician 's  Response
Hello, Welcome to HCM.

The condition, you are suffering from is Pancytopenia. It may occur in many conditions, even in old age idiopathically.
For a better categorization, consult with a hematologist for repeat bone marrow examination, and if required, a flowcytometric analysis of blood should be done to rule out any type of myelodysplastic syndrome.

Regards.
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General & Family Physician Dr. Mamun Kabir's  Response
you have mentioned that you were suffering from iron deficiency anaemia.now the present problem is your all blood cell gradually decreasing.in this age,the possibilities are aplastic anaemia,myelodysplastic syndrome and also hematological malignancy.again you need a bone marrow study.
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Suffering From Severe Anemia. RBC Marked Anisopoikilocytosis. Bone Marrow Test Showing Drop In The WBC, RBC And Platelets. Any Further Tests?

Hello, Welcome to HCM. The condition, you are suffering from is Pancytopenia. It may occur in many conditions, even in old age idiopathically. For a better categorization, consult with a hematologist for repeat bone marrow examination, and if required, a flowcytometric analysis of blood should be done to rule out any type of myelodysplastic syndrome. Regards.