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We postulate that elevated levels of tumor necrosis factor\u2010\u03b1 (TNF\u03b1) may cause trilineage myelodysplasia in the patients with V.L. This nonclonal myelodysplasia may be responsible for pancytopenia along with hypersplenism, hemolysis and reticuloendothelial hyperplasia causing abnormal retention of iron in V.L. Am. J. Hematol. 71:191\u2013195, 2002. \u00a9 2002 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ajh.10200","type":"journal-article","created":{"date-parts":[[2002,10,31]],"date-time":"2002-10-31T18:20:30Z","timestamp":1036088430000},"page":"191-195","source":"Crossref","is-referenced-by-count":28,"title":["Myelodysplastic features in visceral 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