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26 June 2026 : Case report  USA

A Perfect MDS Mimic: Zinc-Driven Copper Deficiency After Gastric Bypass in a Patient Using Denture Adhesive

Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents

Farzeen Fatma Syed AEF 1*, Ye Lin Son BEF 2, Jessica Amos ORCID logo EF 1

DOI: 10.12659/AJCR.952171

Am J Case Rep 2026; 27:e952171

Figure 2 Bone marrow core biopsy demonstrating preserved hematopoiesis without increased blasts(A, B) Hematoxylin- and eosin-stained bone marrow core biopsy sections from the left iliac crest showing variably cellular marrow with preserved trilineage hematopoiesis. Erythroid precursors exhibit mild nuclear irregularities, and occasional megakaryocytes show subtle hypolobation without clustering or overt micromegakaryocytic proliferation. No clinically significant increase in blasts is identified. Cytoplasmic vacuolization is not readily appreciable in core biopsy sections. Original magnification ×40 (scale bar, 20 μm).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923