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Myelodysplastic syndrome and pancytopenia in a patient with non-A, non-B chronic active hepatitis
1Department of Medicine, University of Chicago, Illinois.
Non-A, non-B viral hepatitis may cause many different hematologic abnormalities, such as transient anemia, granulocytopenia, thrombocytopenia, atypical lymphcytosis, or aplastic anemia. We describe a patient who developed a myelodysplastic syndrome (refractory anemia with excess blasts) after prednisone therapy for non-A, non-B chronic active hepatitis. We discuss the effects of non-A, non-B viral infection on the bone marrow and potential explanations for the previously unreported association with myelodysplastic syndrome.
Non-A, non-B viral hepatitis may cause many different hematologic abnormalities, such as transient anemia, granulocytopenia, thrombocytopenia, atypical lymphcytosis, or aplastic anemia. We describe a patient who developed a myelodysplastic syndrome (refractory anemia with excess blasts) after prednisone therapy for non-A, non-B chronic active hepatitis. We discuss the effects of non-A, non-B viral infection on the bone marrow and potential explanations for the previously unreported association with myelodysplastic syndrome.