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[ Image ID:2095 ]

■Detailed data

Materials bone marrow(BM)aspiration
Stain iron-prusian blue (I-PB)
Microscopic findings Suspected MDS-RARS than that observed in ringed sideroblasts in the bone marrow iron staining. Was considered but also the involvement of a large amount of blood transfusion. This case, which had been very similar to the MDS, consider the lack of trace elements by long-term tube feeding, was diagnosed with copper deficiency anemia from deficiency of serum copper and ceruloplasmin.
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