Abstract
Paroxysmal Nocturnal Hemoglobinuria with aplastic anemia is an under-recognized cause of bone marrow failure. We present a case of a 20-yearold male patient who presented to us with severe anemia along with pancytopenia. This is a unique case since the patient's bone marrow biopsy revealed an aplastic picture yet the patient had palpable splenomegaly along with icterus and severe and persistent headaches which could not be explained by aplastic anemia alone. So we investigated the case further to nally reach the diagnosis of Paroxysmal Nocturnal Hemoglobinuria.
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