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Pancytopenia is an important hematologic Problem.it is a decrease in all three cellular elements of peripheral blood leading to aneamia, leucopenia and thrombocytopenia.
Pancytopenia usually presents with symptoms of bone marrow failure such as pallor, dysnea, brusing and increased tendency to infections.
The incidence of various disorders causing pancytopenia varies according to Geographical distribution and genetic mutations. It can result from :
Pancytopenia is not a disease entity but a triad of findings that may result from primary or secondary bone marrow involvement.
Bone marrow aspiration and biopsy evaluation along with clinical correlation are important to evaluate the causes of pancytopenia and plan further investigations and treatment.
Pancytopenia can result from damage to bone marrow evidanced by low reticulocyte count, or increased destruction of the peripheral blood with increased reticulocyte count.
Bone marrow examination is a simple and safe invasive procedure for evaluating the causes of pancytopenia.
The hypoplastic marrow which occurs in 2% of pediatrics acute lymphoblastic leukemia may be misdiagnosed as aplastic aneamia.
Studies done have shown leukemia to be the second most common cause of pancytopenia in pediatrics, marginally behind aplastic aneamia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| One group of children below 18 years old |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Complete blood picture | Diagnostic Test | Iaboratory investigation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Availability | Bone marrow examination for all cases [evaluate the causes of pancytopenia and plan further investigations and treatment.] | One year |
| Measure | Description | Time Frame |
|---|---|---|
| Modification | Guidelines for management of pancytopenia modified or not? [Strategy of blood elements transfusion in treatment] | One year |
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Inclusion Criteria:
Exclusion Criteria:
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Childrens and adolescents from age one month up to 18 years old suffering from pancytopenia.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmed Gadelrab Askr, Professor | Contact | 01114064050 | ahmed.mohamed35@med.au.edu.eg |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Hayat,A.S, Khan,A.H,GH and Shaikh, N . (2014). Pancytopenia :study for clinical features and Etiological pattern at a tertiary care settings in Abbottabad.The professional medical journal, 21,060-065. | ||
| 25992344 | Background | Raja S, Suman FR, Scott JX, Latha MS, Rajenderan A, Ethican A. Pancytopenia - (?) An obstacle in the diagnosis and outcome of pediatric acute lymphoblastic leukemia. South Asian J Cancer. 2015 Apr-Jun;4(2):68-71. doi: 10.4103/2278-330X.155648. | |
| 25584228 |
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| ID | Term |
|---|---|
| D010198 | Pancytopenia |
| ID | Term |
|---|---|
| D000095542 | Cytopenia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| Background |
| Desalphine M, Bagga PK, Gupta PK, Kataria AS. To evaluate the role of bone marrow aspiration and bone marrow biopsy in pancytopenia. J Clin Diagn Res. 2014 Nov;8(11):FC11-5. doi: 10.7860/JCDR/2014/9042.5169. Epub 2014 Nov 20. |
| Background | Al-Khalisi, K.A,Al-zubaidy, A. S and Rhaima. M. 2011.Pancytopenia adult patients atBaghdad Teatching Hospital. The Iraqi postgraduate medical journals, 10,441-448 |