Unpredictable: Mds is a very complex and variable disease the severity is very variable the hemoglobin is more likely to decline rapidly if the patient presents with a low hemoglobin can be stable if it is near normal to have mds in a male of only 34 years is unusual and other diagnosis such as aplastic anemia and other marrow problems should be excluded if you have only anemia exclude causes of anemia.
Answered 6/4/2015
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