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Analysis: Hello, there are many diseases that cause pancytopenia. Guidance:
There are mainly aplastic anemia, hypersplenism, myelodysplastic syndrome, late myelofibrosis, leukemia, systemic lupus erythematosus, liver cirrhosis and other diseases may have pancytopenia.
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Answer]: CA, the leukocytes in the whole blood cells of slow-taking leukemia generally have a significant tendency to increase. In item b, the leukemia-like reaction blood picture had a significantly increased peripheral blood leukocyte count.
C, aplastic anemia is an acquired disease that causes a decrease and/or abnormal function of hematopoietic stem cells due to a variety of causes, resulting in a decrease in red blood cells, neutrophils, and thrombocytos. The hemogram shows pancytopenia. In item D, iron deficiency anemia manifests as a decrease in red blood cells, a mildly increased or normal reticulocyte cell, and a generally normal white blood cell and platelet count.
E, polycythemia vera is characterized by an increase in red blood cells, white blood cells, and platelets.
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Answer]: E test center] Diseases that cause pancytopenia.
Analysis] Leukemia can reduce erythrography, granulopathy, and megakaryocardia due to the inhibition of the normal hematopoietic system by tumor cells; Hypersplenism can increase the cell destruction of the trilineage, resulting in a decrease in the trilineage; Myelodysplastic syndrome is mainly manifested by ineffective hematopoiesis, which may be reduced in one, two, and three lineages; Megaloblastic anemia can also cause trilineage reduction due to the lack of raw materials for DNA synthesis; Idiopathic thrombocytopenic purpura is due to increased platelet immune destruction, shortened lifespan, and antagonistic achicytopenia, but does not affect the maturation of erythroid and granuloline, and does not cause trilineage reduction in plums.
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Differential diagnosis of pancytopenic disorders: 1) Aplastic (leukemia, myelofibrosis) 2) Acute leukemia3) (MDS) Myelodysplastic syndrome4) Paroxysmal nocturnal hemoglobinuria5) Malignant group6) Myelofibrosis7) Cirrhosis8) Megaloblastic anemia9) Multiple myeloma10) Ischemic anemia11) Even's syndrome12) Lymphoma13) Myelometastases14) Acute hematopoietic dysfunction15) Renal anemia16) Non-hematologic diseases17) Epidemic hemorrhagic fever (18) Fankeney anemia (19) Bone marrow suppression after chemotherapy.
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Aplastic anemia, diagnosis is based on bone marrow like MDS hemorrhage, others go to internal medicine.
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In this case, a bone puncture examination is required, and there is no way to make a clear diagnosis based on the value
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Recommendation: Pancytopenia is only a manifestation of a test result, it is not a definitive condition. Aplastic anemia, hypersplenism, myelodysplastic syndrome, late myelofibrosis, leukemia, systemic lupus erythematosus, liver cirrhosis and other diseases may have pancytopenia.
Guidance: Some leukemias can manifest as pancytopenia, but most of them are elevated white blood cells. Don't guess first, check the bone marrow in time, autoimmune antibody profile, etc.
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According to the information you provided, there are many reasons for pancytopenia, and the comprehensive analysis is as follows: eggplant dates.
Anemia diseases: including aplasia, iron deficiency anemia, trophic megaloblastic anemia, hemolytic anemia, PNH, hereditary anemia, etc.
Neoplastic diseases: including acute and chronic leukemia, malignant lymphoma, multiple myeloma, myelodysplastic syndrome (MDS), malignant groups, etc.
Bleeding disorders: including DIC, thrombocytopenic purpura, etc.
Therefore, you need further tests to confirm the diagnosis, common aplastic disorders, and MDS should be focused on testing.
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