We present a patient who was diagnosed as suffering from Fanconi anaem
ia at the age of 36 years. At the time of diagnosis his bone marrow sh
owed features of pre-leukaemic transformation. He received an allogene
ic bone marrow transplant (BMT) from his HLA-identical sibling. The po
st-transplant course was unremarkable with evidence of trilineage engr
aftment at day +32 and no acute or chronic GVHD. He is well with susta
ined engraftment and no haematological evidence of Fanconi anaemia 18
months post-transplant.