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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Bone Marrow Test Report Indicate?

Patient name Mr. hillol chatterjee.
as per prescribe by Dr. A mukharjee last weet we have done Bone marrow test. test result is
Bone marrow samears reveal erthroid hyperplasia, dyshemopoiesis and increased storage iron. please exclude systemic disease, vitamin B12 and folic acid deficiencies. The finding are compatible with myelodysplasia if above conditions are excluded.
sir please sugest me what to do
Mon, 25 Jan 2016
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General & Family Physician 's  Response
Hi I can understand your query.
Normally m: e ratio is 1.5 : 1.(means myeloid to erythroid raio).
Here in your case erythroid hyperplasia is present.it is mostly because of megaliblastic anemia or myelidysplastic syndrome.
Systemic disease that can the cause include tuberculosis,sarcoidosis, Malaria etc.rule out them if you have related symptoms like prolonged cough, fever etc.
For confirming megaliblastic anemic do your serum b12 level.
Then finally no other diagnosis fit then myelidysplastic syndrome will be your diagnosis.
You have not mentioned your reticulicyte count.if it is high hemolytic anemia will be the diagnosis.in which case LDH and bilirubin get increased.
I hope you understand my answer.
Ready to help you.
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What Does My Bone Marrow Test Report Indicate?

Hi I can understand your query. Normally m: e ratio is 1.5 : 1.(means myeloid to erythroid raio). Here in your case erythroid hyperplasia is present.it is mostly because of megaliblastic anemia or myelidysplastic syndrome. Systemic disease that can the cause include tuberculosis,sarcoidosis, Malaria etc.rule out them if you have related symptoms like prolonged cough, fever etc. For confirming megaliblastic anemic do your serum b12 level. Then finally no other diagnosis fit then myelidysplastic syndrome will be your diagnosis. You have not mentioned your reticulicyte count.if it is high hemolytic anemia will be the diagnosis.in which case LDH and bilirubin get increased. I hope you understand my answer. Ready to help you.