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manifestations and the usual presenting features often with symptoms of anemia. Retinal hemorrhage may impair vision. اذا اجه هيج لازم اسوي فحص للنظر وادزه C.T


شلون اميز الmegaloplastic anemia
اباوع للhypersemented neutrophile وانطي b12 وfolate وحسب الرسبونس
indication of bone marrowe transplant :
1- age <40
2-no comorbidity
3-present of donor واحد من اخوانه