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David, what you describe doesn't sound that unusual for MAA, which seems to typically be slower moving than SAA. I know we've heard from others with a similar scenario. You might try posting on Aplastic Central too, or do a forum search on both sites for MAA.
Hope this helps,
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-Lisa, husband Ken age 60 dx SAA 7/04, dx hypo MDS 1/06 w/finding of trisomy 8; 2 ATGs, partial remission, still using cyclosporine
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