PMC6122386_01
Bone marrow biopsy showed 50% cellularity with increased megakaryocytes.
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PMC6122386_01_gr1.jpg
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Megakaryocytes were increased (Fig. 1).
Bone marrow biopsy iron stain showed 15-20% ring sideroblasts.
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PMC6122386_01_gr2.jpg
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Iron stain showed 15-20% ring sideroblasts (Fig. 2).
Cytogenetics showed abnormal male karyotype, del(5q, del(20q).
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PMC6122386_01_gr3.jpg
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Eleven of those cells also had a deletion of the long arm of chromosome 20 (Fig. 3).
Trend of hemoglobin and platelets after starting lenalidomide.
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PMC6122386_01_gr4.jpg
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After a transient period of worsening anemia, his CBC improved and by 3 months his peripheral blood counts were normal (Fig. 4).