PMC9472051_01
Primary lymphedema.
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The patient suffers from primary lymphedema of the right lower limb (Fig 1) since childhood.
a, b: Bone marrow findings.
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The marrow finding showed dysplastic changes in the red and white rows with normal blast count (MDS with refractory cytopenia with multlineage dysplasia) (Fig 2a,b).
HRCT scan.
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HRCT scan showed pulmonary emphysema, lung interstitium involvement and central bronchiectasia (Fig 3).