Info

differential diagnosis of pancytopenia

Pancytopenia with Hypocellular Bone Marrow

  • Acquired aplastic anemia
  • Constitutional aplastic anemia (Fanconi anemia, dyskeratosis congenita, and others)
  • Hypocellular myelodysplastic syndrome
  • Rare aleukemic leukemia
  • Some acute lymphoid leukemia
  • Rare lymphomas of bone marrow
  • Copper deficiency

Pancytopenia with Cellular Bone Marrow

Primary bone marrow diseases

  •  Myelodysplastic syndromes
  •  Paroxysmal nocturnal hemoglobinuria (PNH)
  •  Myelofibrosis
  •  Aleukemic leukemia
  •  Myelophthisis

Bone marrow lymphoma

Hairy cell leukemia

Secondary to systemic diseases

  •  Systemic lupus erythematosus

  •  Hypersplenism

  •  B12, folate deficiency

  •  Copper deficiency

  •  Alcohol

  •  HIV infection

  •  Brucellosis

  •  Sarcoidosis

  •  Tuberculosis

  •  Leishmaniasis

  •  Sepsis

Hypocellular Bone Marrow ± Pancytopenia

  • Q fever
  • Legionnaires’ disease
  • Anorexia nervosa, starvation
  • Mycobacterium