Clinico-hematological profile of Pancytopenia in Manipur, India

ABSTRACT

To determine the etiology and clinical profile of pancytopenia in Manipur, India Prospective study Department of Pathology, Regional Institute of Medical Sciences [RIMS], Imphal, Manipur, a renowned referral hospital in north-east India Fifty cases of pancytopenia were examined in the department of Pathology, RIMS hospital, Imphal, Manipur,India, during a two year period from November 1999 to October 2001. Bone marrow aspiration and examination Correlation between pancytopenia and clinico-hematological diagnosis Hypoplastic anemia was the commonest cause of pancytopenia [22%] followed by megaloblastic anemia and myelodysplastic syndrome [18% each]. The other causes include subleukemic / aleukaemic leukemia [14%], iron deficiency anemia [8%], HIV infection [6%], congenital dyserythropoietic anemia [CDA, 4%], pyrexia of unknown origin [PUO] with hepatosplenomegaly [4%], congenital hepatic fibrosis [2%] and systemic lupus erythomatosus [SLE, 2%]. Rare causes of pancytopenia including iron deficiency anemia, HIV infection and CDA have to be kept in mind as possible disorders manifesting as pancytopenia