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I consult with Dr. Paquette at UCLA-Ronald Reagan Medical Center.
His speciality is bone marrow failure and he is excellent.
He also is an expert in aplastic anemia (which is rarer than MDS, so you really need to see an expert to differentiate). Some dysplasia can be seen with aplastic anemia, especially in the absence of cytogenetic abnormalities.
I'd recommend consulting with him. You may be a good candidate for IST or BMT because of your young age.
What is your bone marrow cellularity?
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55 yo female, dx 9/08, AA/hypo-MDS, subclinical PNH, ATG/CsA 12/08, partial response. small trisomy 6 clone, low-dose cyclosporine dependent
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