Work

Severe adult protein-energy malnutrition mimicking haematological malignancy: diagnostic lessons from a profound pancytopenia

Year: 2026

Type: article

Abstract: A 53-year-old man with insulin-treated type 2 diabetes mellitus and a three-month history of food refusal driven by an untreated major depressive episode presented with pancytopenia (haemoglobin 30 g/L, white cell count 1.48 × 10⁹/L, platelets 14 × 10⁹/L), hepatosplenomegaly, polyserositis, polyclonal hypergammaglobulinaemia (IgG 44.35 g/L), disseminated intravascular coagulation, and a markedly elevated lactate dehydrogenase (LDH 3877 U/L).

Source: Mediterranean Journal of Hematology and Infectious Diseases

DOI: 10.4084/mjhid.2026.079

Authors: Liri Seraj, Aureta Bruci, Amarildo Voci, Xhoana Derraj, Krisli Serani

Institutions: Spitali Rajonal Memorial, Fier, Mother Teresa Hospital

Language: English

Topic: Hematological disorders and diagnostics

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $647