Introduction
Congenital dyserythropoietic anemia (CDA) is an uncommon hematological
condition reported primarily in Central and Western Europe and North
Africa [1-3]. The hallmark of the disease is ineffective
erythropoiesis as the main feature, and there are distinct morphological
abnormalities of the bone marrow’s erythroblasts. Therefore, it should
be considered in any patient with chronic anemia. It is divided into
three categories (CDA I, CDA II, and CDA III), with the most common type
II and CDA III, whose nonfamilial type is the rarest. A majority of CDA
cases are autosomal recessive in nature [4]. In our case, we showed
the way we used to reach our diagnosis and that the typical
morphological appearance of bone marrow erythroblasts is considered the
cornerstone of the diagnosis. Still, a blood smear might give us a hint.