GPT and Pelger-Huet anomaly: In the study of Kim H.R. et al [4], 3 (60%) of 5 PHA cases with an advanced stage survived less than 90 days with lower hemoglobin (Hb), lower platelet (PLT) and higher aspartate aminotransferase (AST) or/and higher alanine transaminase (ALT) relative to the normal reference range.