Concluded Case

SEVERE ANAEMIA PANCYTOPENIA SPLEENOMEGALY ++++ LIVER ++

PRIMARY MYELOFIBROSIS SEVERE ANAEMIA PORTAL HTN 30 M SEVERE ANAEMIC = 15 YRS HAD REPEATED BLOOD TRANSFUSIONS HB ELECTROPHORESIS = NORMAL O/ E ANAEMIA ++++ LIVER ++ SPLEEN ++++ PERIPHERAL BLOOD= PANCYTOPENIA TEAR DROP CELLS + BONE MARROW EXAM BONE BIOPSY SUGGESTIVE OF MYLOFIBROSIS H/ O MELAENA ++ UGI ENDOSCOPY = NO ULCER CAPSULE ENDOSCOPY = NORMAL MRI ABDOMEN =PORTAL HTN RX EARLIER HYDROXYUREA NOW LOW DOSE THALIDOMIDE + PREDNISOLONE ADV = ALLOGENIC STEM CELL TRANSPLANTATION FOR pORTAL HTN TRANSJUGULAR INTRAHEPATIC PORTAL SYSTEMIC SHUNT IN CASE SEVERE PORTAL HTN

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Concluded answer
PRIMARY MYELOFIBROSIS SEVERE ANAEMIA PANCYTOPENIA PORTAL HYPERTENSION
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PRIMARY MYELOFIBROSIS SEVERE ANAEMIA PANCYTOPENIA PORTAL HYPERTENSION
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