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3-Aplastic anemia (AA)
1
Developed by-Dr.Abdulrazzaq Othman Alagbare
M.D M.S.c C.P - Lecturer of Hematology and Immunohematology
Lesson 5-2
Terms must be known
Aplasia
no production
in all types of
cells
Hypoplasia.
low production
in all types of
cells
Hypoplastic
anemia:
low production
in RBC only
Pancytopenia
low count of all
type of cells in
peripheral
blood
Aplastic anemia (AA)
2
Definition Aplastic anemia is one of a group of hypo proliferative disorders has
Bone marrow failure to produce any type of cells
Reduced production of blood cells of myeloid group,
Lymphocyte production is not affected
Pancytopenia in the peripheral blood with anemia , infection and
bleeding
3
Aplastic anemia
4
Characterized by
Peripheral pancytopenia
and marrow hypoplasia
or absent hematopoietic precursors. Up to fibrosis
Aplastic anemia
5
Tests to Establish the Diagnosis of Aplastic Anaemia1-CBC
RBC WBC PLT
A-Hb, PCV  < 7g/dl Low count Low count
B-RBC count  Low Neutropenia
C-MCV Normal Normal Lymphocytes absolute count
D-MCH  Normal
E-Recticulocytes Low
or absent
6
PBS -Aplastic Anaemia
Normocytic/normochromic
anemia
Tear drops
Target cell
Diagnostic test :
• Bone marrow biopsy, shows
• Hypoplasia, or fibrotic
marrow
• Notes: A plastic anemia is
not malignant case
7
8
Modern diagnosis
Flow cytometry phenotyping shows virtual absence of CD34 hematopoietic
stem cells in blood and marrow.
9
‫رب‬ ‫هلل‬ ‫الحمد‬
‫العالمين‬....‫هذا‬
‫هللا‬ ‫مرضات‬ ‫ابتغاء‬

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