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Bone Marrow Failure Syndromes Including Aplastic Anemia and Myelodysplasia


Hypoproliferative anemia is a cardinal feature of these disorders,

differential diagnosis of pancytopenia


  • frequent is pancytopenia: anemia, leukopenia, and thrombocytopenia.
  • Low blood counts in marrow failure result from deficient hematopoiesis, as distinguished from blood count depression due to peripheral destruction of red cells (hemolytic anemias), platelets (idiopathic thrombocytopenic purpura [ITP] or due to splenomegaly), and granulocytes (as in the immune leukopenias).
  • secondary: infection, inflammation, or cancer.

  • Separation between aplastic anemia and hypocellular MDS can be particularly difficult.
  • Mutations on genomic screens