At this early point in the chapter a cautionary point may be in order. Some patients will have a disorder which is in fact masquerading as an MDS. Patients diagnosed with refractory anemia (as part of the MDS) without a cytogenetic abnormality and with no excess blasts in the bone marrow are those in whom this problem may occasionally arise. There may well be a variety of causes of such anemias. Perhaps most obviously, there are many causes of sideroblastic anemia in addition to MDS.
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