1.
• Pansitopenia (Hb :10.2; AL : 1.0; AT : 12)
• Anemia mikrositik normokromik
• Limfositosis relatif (83.7%)
• Ditemukan hepatosplenomegali
• Ditemukan sel blast pada apusan darah tepi (blast like 12%)
• Ditemukan normoblastik dan polikromasi
• BMP : gambaran blood tap, ditemukan limfoblast 3%
• Retikulosit menurun

2.
Diagnosis Banding Pansitopenia
• Hematopoietic stem cell injury : Anemia aplastic
• Hematopoietic mutasi clonal : MDS, Leukemia, PNH
• Myelophtishic (bone marrow infiltration) : Granulomatous disease TB,
limfoma, metastase cancer, myelofibrosis
• Maturation defect : Anemia megaloblastic
• Enhanced periferal destruction : Hipersplenisme, Autoimmune
disease (SLE), HLH (Hemophagocytosis Lymphohistiocytosis)

3.
Macrophage Activation Syndrome: A Report of Two Cases and a
Literature Review
Asaad Alkoht,Ibrahem Hanafi,and Basheer Khalil.