9 doctors weighed in:
What could cause abnormally low levels of rbc, wbc, and platelets? Aplastic anemia, mds, leukemia have been ruled out via bm biopsy.
9 doctors weighed in

Dr. John Leander Po
Internal Medicine - Infectious Disease
5 doctors agree
In brief: Infections-- but---
Much more detail is needed about your case.
What's the age of the patient, comorbid states, medications, family history, environmental exposures, etc. This question is too important to have it answered correctly online- discuss it with your doctor who has all the facts in hand.

In brief: Infections-- but---
Much more detail is needed about your case.
What's the age of the patient, comorbid states, medications, family history, environmental exposures, etc. This question is too important to have it answered correctly online- discuss it with your doctor who has all the facts in hand.
Dr. John Leander Po
Dr. John Leander Po
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Dr. Horacio Capote
Psychiatry
4 doctors agree
In brief: Toxic Chemicals
Inhaling fumes perhaps occupationally or recreationally could do it.
Exposure to toxic chemicals. Your hematologist will be best able to guide you. Sometimes though these things just happen for no apparent reason.

In brief: Toxic Chemicals
Inhaling fumes perhaps occupationally or recreationally could do it.
Exposure to toxic chemicals. Your hematologist will be best able to guide you. Sometimes though these things just happen for no apparent reason.
Dr. Horacio Capote
Dr. Horacio Capote
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1 comment
Dr. David Rizzieri
Dr. Capote is correct...The questioner may want to discuss in more detail the marrow results though, as the marrow will likely not be 'normal' no matter what the cause: Is it overactive as a sign the marrow works but your body is destroying the cells or is the marrow 'hypo cellular' meaning not working well enough as a sign of damage from disease- If all else is negative it is aplastic anemia
Dr. Matt Malkin
Anesthesiology
1 doctor agrees
In brief: Unknown
If you have already received a bone marrow biopsy under the direction of heme-onc, then you're probably beyond the scope of anyone here without your specific info.
If your doc can't solve it then he/she may refer you to an academic center. Because so many things cause pancytopenia, it may take a while to find the offending med or disease. Best of luck!

In brief: Unknown
If you have already received a bone marrow biopsy under the direction of heme-onc, then you're probably beyond the scope of anyone here without your specific info.
If your doc can't solve it then he/she may refer you to an academic center. Because so many things cause pancytopenia, it may take a while to find the offending med or disease. Best of luck!
Dr. Matt Malkin
Dr. Matt Malkin
Thank
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