Clinico-pathological profile of pancytopenia patients in a single health care centre of northern India

Background: Pancytopenia is a clinical outcome of various pathological conditions ranging from bone marrow suppression, bone marrow infiltration, infections, hypersplenism, haemolysis, and haematological malignancies. As such is the most common cause in drug induced (chemotherapy) bone marrow suppre...

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Main Authors: Divendu Bhushan, Rahul Shukla, Ranjini Roy, Mukta Agarwal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2952;epage=2955;aulast=Bhushan
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author Divendu Bhushan
Rahul Shukla
Ranjini Roy
Mukta Agarwal
author_facet Divendu Bhushan
Rahul Shukla
Ranjini Roy
Mukta Agarwal
author_sort Divendu Bhushan
collection DOAJ
description Background: Pancytopenia is a clinical outcome of various pathological conditions ranging from bone marrow suppression, bone marrow infiltration, infections, hypersplenism, haemolysis, and haematological malignancies. As such is the most common cause in drug induced (chemotherapy) bone marrow suppression. As most of these patients first contact their primary care physicians, a quick workup will resolve many diagnosis and can give a hint towards a life threatening condition too. Material and Methods: We included all patients admitted with pancytopenia at our tertiary care centre except those who were drug induced. They were evaluated and given appropriate treatment. Results: We observed 73 patients in a year, after excluding drug-induced pancytopenia, and showed aplastic anaemia was the foremost cause (31.5%) followed by vitamin B12 deficiency (19.2%), infections (13.7%), hypersplenism and haematological malignancies. Conclusion: Majority of adult patients admitted with pancytopenia are diagnosed to have curable cause like vitamin deficiency and infections but significant number was also of aplastic anaemia, a condition that requires specialist care.
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spelling doaj.art-b949a1eede304d1181e934613af0f6aa2022-12-22T03:43:06ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011162952295510.4103/jfmpc.jfmpc_2322_21Clinico-pathological profile of pancytopenia patients in a single health care centre of northern IndiaDivendu BhushanRahul ShuklaRanjini RoyMukta AgarwalBackground: Pancytopenia is a clinical outcome of various pathological conditions ranging from bone marrow suppression, bone marrow infiltration, infections, hypersplenism, haemolysis, and haematological malignancies. As such is the most common cause in drug induced (chemotherapy) bone marrow suppression. As most of these patients first contact their primary care physicians, a quick workup will resolve many diagnosis and can give a hint towards a life threatening condition too. Material and Methods: We included all patients admitted with pancytopenia at our tertiary care centre except those who were drug induced. They were evaluated and given appropriate treatment. Results: We observed 73 patients in a year, after excluding drug-induced pancytopenia, and showed aplastic anaemia was the foremost cause (31.5%) followed by vitamin B12 deficiency (19.2%), infections (13.7%), hypersplenism and haematological malignancies. Conclusion: Majority of adult patients admitted with pancytopenia are diagnosed to have curable cause like vitamin deficiency and infections but significant number was also of aplastic anaemia, a condition that requires specialist care.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2952;epage=2955;aulast=Bhushanaplastic anaemiachronic liver diseasehaemolytic anaemiamegaloblastic anaemiapancytopenia
spellingShingle Divendu Bhushan
Rahul Shukla
Ranjini Roy
Mukta Agarwal
Clinico-pathological profile of pancytopenia patients in a single health care centre of northern India
Journal of Family Medicine and Primary Care
aplastic anaemia
chronic liver disease
haemolytic anaemia
megaloblastic anaemia
pancytopenia
title Clinico-pathological profile of pancytopenia patients in a single health care centre of northern India
title_full Clinico-pathological profile of pancytopenia patients in a single health care centre of northern India
title_fullStr Clinico-pathological profile of pancytopenia patients in a single health care centre of northern India
title_full_unstemmed Clinico-pathological profile of pancytopenia patients in a single health care centre of northern India
title_short Clinico-pathological profile of pancytopenia patients in a single health care centre of northern India
title_sort clinico pathological profile of pancytopenia patients in a single health care centre of northern india
topic aplastic anaemia
chronic liver disease
haemolytic anaemia
megaloblastic anaemia
pancytopenia
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2952;epage=2955;aulast=Bhushan
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AT ranjiniroy clinicopathologicalprofileofpancytopeniapatientsinasinglehealthcarecentreofnorthernindia
AT muktaagarwal clinicopathologicalprofileofpancytopeniapatientsinasinglehealthcarecentreofnorthernindia