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Bone marrow failure/anemia panel is intended for patients with abnormalities in more than two blood cell types (red blood cells, white blood cells, and platelets) who present with symptoms of lethargy, recurrent infections, excessive bleeding, abnormal pigmentation, an enlarged spleen, and malignancy. Specific disorders detected with this panel include hemophagocytic lymphohistiocytosis, Seckel syndrome, thrombocytopenia, Fanconi anemia, dyskeratosis congenita, Shwachman-Diamond syndrome, and other anemias such as alpha and beta thalassemia, sickle cell disease, spherocytosis, megaloblastic anemia, congenital sideroblastic anemia, and dyserythropoietic anemia. Blood or saliva samples are required.