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Refractory thrombocytopenia (RT), classified by the WHO as a subtype of refractory cytopenia with unilineage dysplasia, is an unusual MDS subtype that initially presents as chronic pure thrombocytopenia [1]. RT is often misdiagnosed as idiopathic thrombocytopenic purpura (ITP) becausethe dysplasiain ITP is indistinguishable from that in RT [2].

A Case of Refractory Thrombocytopenia with 5q Deletion: Myelodysplastic Syndrome Mimicking Idiopathic Thrombocytopenic Purpura