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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

Articles (11)

  • Case Report
  • Open Access
520 Views
14 Pages

Background and Clinical Significance: Hemophilia A presents a considerable challenge in cardiac surgery due to the elevated risk of perioperative bleeding, particularly during procedures involving cardiopulmonary bypass. Standard management typically...

  • Case Report
  • Open Access
487 Views
8 Pages

A Drop of Blood to Lead the Way

  • Theodora A. M. Claushuis,
  • Marielle J. Wondergem,
  • Henriette B. Beverloo,
  • Marise R. Heerma van Voss,
  • Remco J. Molenaar,
  • Maud Zwolsman,
  • Fleur M. van der Valk,
  • Hans L. Mooij,
  • Lianne Koens and
  • Sanne H. Tonino

Background and Significances: In patients with Epstein–Barr virus-driven hemophagocytic lymphohistiocytosis (EBV-HLH), identifying the underlying cause poses a significant diagnostic challenge. HLH may precede overt disease, and early directed...

  • Article
  • Open Access
656 Views
11 Pages

TKI Use and Treatment-Free Remission in Chronic Myeloid Leukemia: Evidence from a Regional Cohort Study in the Canary Islands

  • Santiago Sánchez-Sosa,
  • Ruth Stuckey,
  • Adrián Segura Díaz,
  • José David González San Miguel,
  • Ylenia Morales Ruiz,
  • Sunil Lakhawani Lakhawani,
  • Jose María Raya Sánchez,
  • Melania Moreno Vega,
  • María Tapia Torres and
  • Pilar López-Coronado
  • + 5 authors

Background/Objectives: The advent of tyrosine kinase inhibitors (TKIs) revolutionized the management of chronic myeloid leukemia (CML), achieving survival rates near those of the general population. Despite this success, prolonged therapy presents ch...

  • Article
  • Open Access
535 Views
11 Pages

Background/Objective: Candidemia is a serious complication following intensive chemotherapy and is associated with high mortality in pediatric patients. This study aimed to identify the factors associated with 28-day mortality in pediatric patients w...

  • Case Report
  • Open Access
810 Views
6 Pages

ANKRD26 Gene Mutation and Thrombocytopenia—Is the Risk of Malignancy Dependent on the Mutation Variant?

  • Eirik B. Tjønnfjord,
  • Kristian Tveten,
  • Signe Spetalen and
  • Geir E. Tjønnfjord

Background and Clinical Significance: Inherited thrombocytopenia (IT) is a heterogeneous group of disorders caused by mutations in over 45 genes. Among these, ANKRD26-related thrombocytopenia (ANKRD26-RT) accounts for a notable subset and is associat...

  • Case Report
  • Open Access
520 Views
8 Pages

Diagnostic Challenges in Acute Leukemia: From Dental Pain to Catastrophic Intracerebral Hemorrhage

  • Anatoli Pinchuk,
  • Stefan P. Roch,
  • Christian Mawrin,
  • Daniel Behme,
  • Klaus-Peter Stein,
  • Belal Neyazi,
  • Martin Mikusko,
  • Ibrahim Erol Sandalcioglu and
  • Ali Rashidi

Background and Clinical significance: Acute leukemias are neoplasms of the hematopoietic system that are caused by the extensive proliferation of immature precursor cells (‘blasts’), mainly in the bone marrow. They frequently manifest wit...

  • Case Report
  • Open Access
3,721 Views
8 Pages

Anemia Due to Unexpected Zinc-Induced Copper Deficiency

  • Nicholas Chun,
  • Shehla Aman,
  • Dan Xu,
  • Jun Wang,
  • Craig Zuppan and
  • Albert Kheradpour

Anemia due to acquired copper deficiency is most commonly the result of malabsorption or dietary deficiency. However, it can occasionally be due to excess zinc intake, which impairs the absorption of copper. Copper deficiency may result in vacuolated...

  • Case Report
  • Open Access
819 Views
9 Pages

Psychotic Disorder Secondary to Cerebral Venous Thrombosis Caused by Primary Thrombophilia in a Pediatric Patient with Protein S Deficiency and an MTHFR p.Ala222Val Variant: A Case Report

  • Darío Martínez-Pascual,
  • Alejandra Dennise Solis-Mendoza,
  • Jacqueline Calderon-García,
  • Bettina Sommer,
  • Eduardo Calixto,
  • María E. Martinez-Enriquez,
  • Arnoldo Aquino-Gálvez,
  • Hector Solis-Chagoyan,
  • Luis M. Montaño and
  • Bianca S. Romero-Martinez
  • + 2 authors

Background and Clinical Significance: Herein, we describe the clinical case of a 17-year-old patient with psychotic disorder secondary to cerebral venous thrombosis due to primary thrombophilia, which was related to protein S deficiency and a heteroz...

  • Case Report
  • Open Access
528 Views
7 Pages

Secondary Hemophagocytic Lymphocytosis in Inflammatory Bowel Disease

  • Jacob Boccucci,
  • Ramalakshmi Thulluri,
  • Chandini Kannan,
  • Matthew Gold and
  • Vamsi Kota

Background and Clinical Significance: Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening condition that can go underdiagnosed due to overlapping features with severe infections. While the use of thiopurine in inflammatory bowel d...

  • Review
  • Open Access
2,462 Views
13 Pages

Solitary Plasmacytomas: Current Status in 2025

  • Uğur Hatipoğlu,
  • Mert Seyhan,
  • Turgay Ulas,
  • Mehmet Sinan Dal and
  • Fevzi Altuntaş

Solitary plasmacytoma refers to a neoplastic, clonal proliferation of plasma cells forming a single mass. They are divided based on their origin site; solitary bone plasmacytomas originate from the bones, and extramedullary plasmacytomas represent ex...

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