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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Bone Marrow Test Specify For A Kidney Failure Patient?

Hello sir/madam Am sending u the reports of my father who is suffering from kidney failure and is on haemodialysis since 1 year. As his Haemoglobin is 7.5 only. He is continously taking Erythropoietin injections twice a week past 1 year. Their is no improvement in his haemoglobin content. As suggested by doctor we have done bone marrow tests. Pls go thru the reports and suggest what blood disease he is suffering from: The reports of Bone marrow tests are as follows: Red cells show moderate anisopoikilocytosis, microcytic hypochromic with a afew tear drop cells and target cells, occasional fragmented cells seen. Leucocytes are normal. Neutrophils 70%, Lympocytes 23%, monocytes 3%, eosinophils 4%. Platelets are adequate. Bone marrow: Aspiration: Particulate smears with cellular trails. Blasts are 7% of marrow nucleated cells. Myeloid precursors show mild dyspoeisis, there is erythroid prominence. Erythropeisis is normoblastic. ME ratio is reversed and 1:1.2. megakaryocytes are adequate, few dyspoeitic forms are seen. Perls stain shows increased iron stores. No ring sideroblasts seen. Biopsy imprints show few cellular foci. Thanking you
posted on Mon, 21 Dec 2015
Twitter Thu, 2 Jun 2016 Answered on
Twitter Fri, 3 Jun 2016 Last reviewed on
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Urologist,  's  Response
Hello and welcome to HCM.
As an Urologist,i can understand your anxiety.
In people with kidney failure,anemia is common and erythropoietin is given.
A kidney biopsy is done first,to know the cause of kidney failure.
According to this report,further tests and treatment is advised.
The bone marrow test is, as usually seen in most people with kidney failure.
It shows bone marrow depression,which causes the anemia or low Hb.
If you've any doubts,you may send all reports,as a direct question.
Dr.Matthew J. Mangat.
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What Does This Bone Marrow Test Specify For A Kidney Failure Patient?

Hello and welcome to HCM. As an Urologist,i can understand your anxiety. In people with kidney failure,anemia is common and erythropoietin is given. A kidney biopsy is done first,to know the cause of kidney failure. According to this report,further tests and treatment is advised. The bone marrow test is, as usually seen in most people with kidney failure. It shows bone marrow depression,which causes the anemia or low Hb. If you ve any doubts,you may send all reports,as a direct question. Dr.Matthew J. Mangat.