A preterm male infant presented with multiple prematurity-related comorbidities along with persistent anemia without reticulocytosis and required transfusion support. Bone marrow aspirate and biopsy were recommended by the hematologist. The patient’s peripheral blood smear showed anisopoikilocytosis and mild monocytosis. A bone marrow biopsy showed normocellular bone marrow with tri-lineage hematopoiesis. He tested negative for parvovirus.
An image of his aspirate smear has been provided. Based on the clinical presentation and image, what is your diagnosis for this patient ? (Answer is posted in the comment section below!) *This patient case is from the Docplexus Editorial Team for educative purposes only. Source: Department of Pathology, University of Pittsburgh
