A non-Hodgkin's lymphoma patient with persistent anaemia after chemotherapy

A clinical pathology conference is held each trimester at the Department of Internal Medicine of the Academic Medical Centre Amsterdam. Some weeks before the conference, a senior resident is presented with a 'paper' case to be solved. The resident is provided with some but not all details on the case, including clinical, laboratory and radiological data, and in the current case (presented by a resident in Internal Medicine and Haematology) bone marrow cytology slides, but no reports. Based on this information, the resident puts a case together with a focus on clinical reasoning, leading to a provisional diagnosis. Afterwards, the clinician who provided the case reveals the actual diagnosis and clinical course. Below, a recent case on persistent anaemia following chemotherapy in a non-Hodgkin's lymphoma patient is presented.