Pancytopenia and bone marrow failure Flashcards
what is pancytopenia
reduction in all cell lines
what is pancytopenia
reduction in all cell lines
causes of pancytopenia
decr marrow production- aplastic anaemia, infiltration- acute leukaemia, myelodysplasia, myeloma, lymphoma, TB; megaloblastic anaemia, myelofibrosis. incr peripheral destruction- hypersplenism
agranulocytosis
decr white cells- increased susceptbility to infection
aplastic anaemia
pancytopenia and hypoplastic marrow- marrow stops making cells.
what does aplastic anaemia present with
features of anaemia, infection, bleeding
causes aplastic anaemia
autoimmune, drugs, irradiation, inherited- Fanconi
treatment aplastic anaemia
support bone marrow. bone marrow transplant from HLA matched sibling. immunosuppression
when are platelets indicated
when are platelets indicated
causes of pancytopenia
decr marrow production- aplastic anaemia, infiltration- acute leukaemia, myelodysplasia, myeloma, lymphoma, TB; megaloblastic anaemia, myelofibrosis. incr peripheral destruction- hypersplenism
agranulocytosis
decr white cells- increased susceptbility to infection
aplastic anaemia
pancytopenia and hypoplastic marrow- marrow stops making cells.
what does aplastic anaemia present with
features of anaemia, infection, bleeding
causes aplastic anaemia
autoimmune, drugs, irradiation, inherited- Fanconi