Hematology Reports, Volume 17, Issue 4
August 2025 - 11 articles
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Cover Story: Anemia from acquired copper deficiency is typically due to malabsorption or poor intake, but may also result from excess zinc, which occurs by interfering with copper absorption. Copper deficiency can cause changes in the bone marrow, such as vacuolated erythroid and myeloid precursors, mimicking myelodysplasia. We report a case of an 18-year-old female with cerebral palsy who presented with respiratory failure and was found to have anemia and leukopenia with absolute neutropenia. After a bone marrow biopsy demonstrated significant findings, additional tests were ordered which reported low serum copper and high zinc levels. Copper deficiency should be considered in similar cases, as it can mimic myelodysplasia or B12 deficiency, with vacuolated hematopoietic precursors serving as a diagnostic clue. View this paper