19th March 2024

You are asked to review a 45 year old male in the haematology clinic who has been referred from the epilepsy clinic

You are asked to review a 45 year old male in the haematology clinic who has been referred from the epilepsy clinic. He has had epilepsy since childhood and remains stable on carbamazepine for several years. He tells you that he has been feeling tired and lethargic for the last two months. As well as this, he states that he has developed had a sore throat and feeling hot particularly at night. The recent bloods just prior to clinic reveal neutropaenia, thrombocytopaenia and anaemia. Peripheral blood film is profoundly hypocellular. Which of the following is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.