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Intrathoracic extramedullary haemopoiesis in a patient with hereditary spherocytosis
  1. Heena Mistry1,
  2. Nilushi Ranaweera1,
  3. Diane E Laws1,2
  1. 1Department of Respiratory Medicine, Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust, Bournemouth, UK
  2. 2Department of Respiratory Medicine, Royal Bournemouth Hospital, Bournemouth, UK
  1. Correspondence to Dr Heena Mistry, Respiratory Medicine, Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust, Bournemouth BH7 7DW, UK; hmmist25{at}gmail.com

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History

A 63-year-old Thai man with hereditary spherocytosis presented with pruritus of his legs and subsequently found to have a raised serum ferritin of 1638 µg/L. He had previously not required transfusional support. A referral was made to the gastroenterologists for investigation of iron overload. The HFE gene was not detected, thereby excluding hereditary haemochromatosis.

A T2* MRI scan was performed to identify areas of high iron load as part of the transfusion programme at the Royal Bournemouth Hospital for patients with myelodysplastic syndromes. This showed a large mass in the posterior right chest and a 3 cm×4 cm mass in the inferomedial left chest (figures …

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