A 32-year-old woman is referred for evaluation because of a three-month history of fatigue, easy bruising, and menorrhagia. Physical examination shows multiple ecchymoses on the extremities. Laboratory examination was done where following results were observed: Hemoglobin: 7.5 g/dL Hematocrit: 24% Leukocyte count: 800/mm 3 Neutrophils: 10% Lymphocytes: 80% Monocytes: 10% Platelet Count: 15,000/mm 3 Absolute reticulocyte count: 15,000/mm 3 Haptoglobin: Normal Lactate Dehydrogenase: Normal Direct antiglobulin (Coombs) test: Negative Examination of a bone marrow biopsy specimen shows five percent cellularity, no dysplasia, and normal cytogenetics. A diagnosis of severe aplastic anemia is made.
What management approach would you suggest? *This patient case if from Docplexus editorial team for educative purpose only. Source: American society of Hematology Correct answer posted below ( Click…
