Evidence map›Paper›PMID 24122422›Full record

ArticleIndian journal of pediatrics2013

Epidemiological Features of Aplastic Anemia in Indian Children.

Vineeta Gupta, Raghvendra Pratap, Akash Kumar, Isha Saini, Jyoti Shukla

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Article in Indian journal of pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

  1. Not all thrombocytopenic bleeding is the same: Response to SinghJournal of family medicine and primary care · 2021
    Article
  2. Review
  3. Article
  4. Interaction between Herpes Virus Infections and IL10 and Risk of Bone Marrow Suppression.International journal of organ transplantation medicine · 2018
    Article
  5. Review
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Vineeta GuptaDepartment of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, Uttar Pradesh, India, vineetaguptabhu@gmail.com.
Raghvendra Pratap
Akash Kumar
Isha Saini
Jyoti Shukla

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo study the socio-demographic profile and clinico-hematological features of aplastic anemia in children presenting at a single institution over 5 y.

methodsPatients below the age of 15 y presenting with features of aplastic anemia were included in the study. Epidemiology, clinico-hematological features and treatment received were recorded in all the cases. Serology for hepatitis A, B, C, E, EBV, parvovirus and HIV was carried out. Cytogenetic studies were available in approximately half of the patients.

resultsOne hundred eighty five patients were diagnosed with aplastic anemia. Ten patients with inherited bone marrow failure syndrome (IBMFS) were excluded. Median age was 8 y (range 4-14 y) with a male to female ratio of 2.4:1. Pallor (100 %) followed by bleeding manifestations (83.8 %) and fever (73.5 %) were most common presenting symptoms. One hundred twenty patients (70 %) were classified as severe, 36 (21 %) very severe and 17 (9 %) non-severe aplastic anemia. Viral markers for parvovirus, Epstein barr virus and hepatitis were positive in 25.8 %, 20 % and 6.7 % patients respectively. Six patients had history of varicella infection in recent past (within 6 mo). Very few patients (30) could afford immunosuppressive therapy (IST) and had suboptimal response (29.7 %).

conclusionsMajority of patients had idiopathic aplastic anemia. Very severe aplastic anemia and severe aplastic anemia were frequent. Few patients received IST and had suboptimal response. There is need to establish a national registry for aplastic anemia.

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