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ORIGINAL ARTICLE
Year : 2012  |  Volume : 4  |  Issue : 9  |  Page : 384-388

Aplastic anemia: A common hematological abnormality among peripheral pancytopenia


1 Department of Pathology, North Bengal Medical College, Darjeeling, India
2 Department of Community Medicine, North Bengal Medical College, Darjeeling, India
3 Department of Dermatology, Venereology & Leprology, North Bengal Medical College, Darjeeling, India

Correspondence Address:
Pal Partha Pratim
Department of Community Medicine, North Bengal Medical College, Sushrutanagar, Darjeeling, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-2714.100980

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Background: Aplastic anemia is a well-recognized form of marrow failure. The incidence of aplastic anemia is subjected to wide variation. Most cases are acquired and immune-mediated but there are also inherited forms. Aim: The study was conducted to assess the magnitude of the problem, morphological changes and determinants of aplastic anemia in North Bengal. Materials and Methods: A cross-sectional study had been conducted for a period of one year among 5 to 70 years age group. Initially complete blood count followed by bone marrow examination was done for diagnosis. Results: Out of 48 cases, 38 (79.17%) had hypocellular diagnosed as aplastic anemia, 5 (10.42%) each had normocellular and hypercellular bone marrow. Histopathology shows that 30 (78.95%) cases had increased iron stores in bone marrow and 8 (21.05%) cases had decreased iron stores. Subjects less than 20 years of age mostly (31.58%) suffered from non-severe disease in contrast to subjects in higher age groups who had severe or very severe disease, though the trend was not significantly different (χ2 for linear trend 0.171, P > 0.05). Conclusion: The study shows aplastic anemia is a common hematological abnormality among peripheral pancytopenia in North Bengal region where males were affected more than females.


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