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Asking For Self, Male 33, Riyadh Saudi
No need of ATG if planning SCT. If SCT is not possible, continue cyclosporine after ATG. It’d take a couple of years in improvement of the condition. Hematopoietic growth factors such as Filgrastim, eltrombopag, erythropoietin might also help in regeneration of BM. Regards Dr MRK from Pakistan
I have lot of queries and need for detailed information before I can comment on the recommendation made by specialist. I think you need to physically go to some clinical hematologist or haemoncologist with complete record of reports and get second opinion. e.g Aplastic anemia patient should not have splenomegaly and lupus anticoagulant are found in autoimmune disorders. Things dont fit in well in this incomplete summary of case.
Patient
Post Owner
as per bone marrow biopsy report Dr told me you have weak bone marrow..
4 years ago
Patient
Post Owner
here in Saudi Arabia..I consult with three Dr...in which last one is transfusion medicine specialist..he told me..you have 2 options..go to atg injection or transplant
4 years ago
your diagnosis need a review. It is nor simple Aplastic anaemia and that is why you are not responsive. I dont think it is right if I was to mislead you on treatment without reviewing diagnosis. You definitely need second opinion and review.
Patient
Post Owner
i eat two time cyclosporine theropy..with steroids....and vitimens etc....but can't effectve
4 years ago
Patient
Post Owner
this is just current CBC...done by other Dr...as 1 take 2 more Dr advise..both diagnose aplastic anemia
4 years ago
Patient
Post Owner
latest blood report
MBBS , FCPS (Hematology) | Rawalpindi | Book Appointment
This report is in absence of blood transfusion??
4 years ago
Patient
Post Owner
mam this is latest Cbc...on march 17 2020 my last Dr diagnose with final report after 2 year complete test and different types of medicines....them I check with other Dr...he took this test and ultrasound for spleen.spleeen enlarge as 16cm.
yesterday I go to transfusion medicine specialist...first he told me to go Goucher test but then he siggest me not to do...as per your test,reports, medicine used..I suggest you to do atg ..or transplant
4 years ago
You have ITP right now which may evolve to aplastic in future. you donot need any of drugs that you used and donot need transplant. on this forum I cant reassure you more than this.
Patient
Post Owner
what to do.....now....I am confused....three Dr specialist hematology..I check .aaalll are diagnose same...I eat vitimens, cyclosporine steroids.... vitimens 6...etc
4 years ago
visit good hematologist in Pakistan when you come during your leave.
plz consult me online thru marham i will help you in a better way thanks for your concerns dr Usman Tahir hematologist Lahore
Patient
Post Owner
sir three four time I used cyclosporine...after every two three months..but can't work
4 years ago
MBBS, M.Phil (Hematologist), PhD | Faisalabad | Book Appointment
You need cyclosporine for 2 years or so
4 years ago
Patient
Post Owner
yes more then 2 year....I tried...with diff span of months...even steroid also
4 years ago
Patient
Post Owner
with victiem e,folic acid, mecoblamin,
hydroxyahloroquine sulphate
4 years ago
MBBS, M.Phil (Hematologist), PhD | Faisalabad | Book Appointment
Continue until you get response. Take care of liver and kidneys. Get LFTs and RFTs done periodically
4 years ago
Patient
Post Owner
sir every three to 4 weeks Dr take this test.every thing is normal even antibodies...only platelets are decreasing crruent 17k and spleen is enlarge with 16cm
4 years ago