PMC5267852_01
Bone marrow aspirate (A) and (B) showing hypocellularity, increased fat cells and reduced number of haemopoietic cells. There are no megakaryocytes and erythropoiesis is depressed
PAMJ-24-277-g001.jpg
PMC5267852_01_PAMJ-24-277-g001.jpg
f0001
BM aspiration revealed a hypocellular (marrow cellularity 20%), fatty marrow with depressed erythropoiesis, granulopoiesis, megakaryopoiesis and no associated dysplasia or blasts (Figure 1).
Purpura and petechiae haemorrhages on the abdomen (A), top left shoulder (B), right thigh (C), anterior chest wall and neck (D)
PAMJ-24-277-g002.jpg
PMC5267852_01_PAMJ-24-277-g002.jpg
f0002
She was also noticed to have developed fresh purpura and petechial haemorrhages on her limbs, shoulder and trunk. (Figure 2).