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Anemia, Aplastic

Muthalagu Ramanathan, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Pancytopenia due to hypocellular bone marrow without the presence of infiltrates or fibrosis; classified as acquired (much more common) and congenital

  • Acquired aplastic anemia: insidi...

DIAGNOSIS

HISTORY

  • Solvent and radiation history; family, environmental, travel, and infectious disease history

  • Patients are often asymptomatic but may have frequent infections, fatigue, shortness of bre...

TREATMENT

Two major options: immunosuppressive therapy plus growth factor therapy and hematopoietic stem cell transplantation. Treatment decisions are based on age of the patient, severity of disease,...

ONGOING CARE

PATIENT EDUCATION

  • Avoid people who are ill and large crowds.

  • Wash your hands often, brush and floss your teeth; regular dental care

  • Pneumonia vaccine and annual flu shot

  • Aplastic Anemia and M...

REFERENCE

1
Luzatto  L, Risitano  AM. Advances in understanding the pathogenesis of acquired aplastic anemia. Br J Haematol.  2018;182(6):758–776. [View Abstract on OvidMed...

SEE ALSO

  • Lupus Erythematosus, Systemic (SLE); Myelodysplastic Syndromes (MDS)

  • Algorithm: Anemia

CODES

ICD10

  • D61 Other aplastic anemias and other bone marrow failure syndromes

  • D61.0 Constitutional aplastic anemia

  • D61.01 Constitutional (pure) red blood cell aplasia

  • D61.09 Other constitutional aplastic...

CLINICAL PEARLS

  • Acquired aplastic anemia has an insidious onset and is caused by an exogenous insult triggering an autoimmune reaction. This form is usually responsive to immunosuppressive therapy.

  • Imm...

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