A Clinical And Etiological Study of Patients with  Pancytopenia (A Study Of 50 Cases)

Dr. Priyank Mody; Dr. Sanket pravinchandra Saraiya; Dr. M.N. Mehta

Volume : III, Issue : VII, July - 2013

A Clinical And Etiological Study of Patients with Pancytopenia (A Study Of 50 Cases)

Dr. Priyank Mody, Dr. Sanket Pravinchandra Saraiya, Dr. M. N. Mehta

Abstract :

“Pale represents death and I as a doctor thrive to ing back the dead” –Dr. Priyank Mody. Pancytopenia means a disorder in which all 3 blood elements (red blood cells, white blood cells and platelets) are decreased than normal. For years panctopenia was equated with aplastic anemia, resulting to unnecessary referral to an oncologist, resulting to unnecessary financial & emotional burden to the patient & his family .to Relatively untouched topic by all prominent indigenous Textbooks of Internal Medicine & Haematology, hence we had to rely on foreign literature where the aetiology varied widely as compared to the patient profile we see in India. Hence there was an imminent need for studies to determine aetiology & generate a plan for evaluation and treatment based on local factors. Common questions that a healthcare professionals asks are 1) What are the most common causes of pancytopenia? And 2) What is the best diagnostic approach to the pancytopenia patient? In the present study, I have attempted to answer these questions. I studied 50 patient admitted in a general medical ward with pancytopenia with different aetiology and varied clinical presentations, .On the basis of the findings and available literature I have tried to study common causes of pancytopenia in general medical ward, their clinical presentations, physical examination findings and have formulated approach to the problem of pancytopenia.