Bone Marrow Clues in Sickle Cell Anemia

A 60-year-old man with sickle cell disease presents with severe Anemia. Explore the diagnostic significance of bone marrow findings in this challenging case.

Hemophagocytosis of sickle cells


A 60-year-old man presented to the hematology clinic with fatigue and dyspnea on exertion. He had a history of sickle cell disease with hemoglobin genotype SS. Laboratory studies showed a hemoglobin level of 4 g per deciliter. Light microscopy of a bone marrow biopsy specimen is as shown. What is the diagnosis?

What is the most likely diagnosis?

Sideroblastic anemia
B-cell acute lymphoblastic leukemia
Aplastic anemia
Hemophagocytosis of sickle cells
Multiple myeloma

Bone marrow biopsy, Hemophagocytosis of sickle cells, Histiocyte, Severe Anemia, Sickle Cell Disease

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