Would Need Your Help For A Second Opinion Of My

Posted on Mon, 5 Aug 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 5 Aug 2019 Answered on

Last reviewed on

Question : would need your help for a second opinion of my mom's bone marrow report. what exactly happened and is there any treatment can be done to cure my mom. if yes.. what I need to do ..pls suggest. draft of the report is enclosed . would be very grateful if you can share your observation and suggestion for treatment.

Answered by Dr. Shailja Puri (29 minutes later)

Brief Answer:
Kindly, post the CBC and bone marrow reports for interpretation

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.

Kindly, post the complete blood count (CBC) and bone marrow report for interpretation.

Thanks
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Shailja Puri (23 hours later)

Hi doctor, providing the snapshots of all reports including CBC and Bone Marrow. pls have a look and share your opinion. will be very helpful if you guide in making her cure. Regards Subhro

Answered by Dr. Shailja Puri (1 hour later)

Brief Answer:
Vitamin B12 and folic acid supplements are required.

Detailed Answer:
Hello and welcome again,

The bone marrow aspiration smears show megaloblastic change.
I suggest you get blood levels of vitamin B12 and folic acid.

In case vitamin B12 and folic acid deficiency are present, vitamin B12 and folic acid supplementation need to be given.

A repeat bone marrow aspiration after vitamin B12 and folic acid needs to be repeated.
Correction of megaloblastic reaction to normocytic in bone marrow suggests that the changes were due to nutritional deficiency.

However, if the megaloblastic changes persist after vitamin B12 and folic acid supplementation, then myelodysplastic syndrome need to be investigated by molecular testing.

Thanks and take care
Dr. Shailja Puri

Above answer was peer-reviewed by : Dr. Arnab Banerjee