ReviewAnnals of medicine and surgery (2012)2026
Cytopenias in context: ethnoracial hematological trends among HIV-infected Africans and Russians: a review.
Review in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Cytopenias - particularly anemia, leukopenia, and thrombocytopenia - are common hematological manifestations among individuals living with human immunodeficiency virus (HIV) and serve as critical markers of disease severity, progression, and treatment response. These hematologic complications often vary across populations due to a complex interplay of genetic, environmental, nutritional, and socioeconomic factors. Ethnoracial diversity significantly influences the expression and outcomes of these cytopenias, necessitating population-specific investigations to guide accurate diagnosis and effective clinical management. In this review, we explore and contrast the hematological profiles of HIV-infected individuals of African and Russian descent, highlighting key differences in prevalence patterns, underlying mechanisms, and associated comorbidities. African populations frequently exhibit higher rates of anemia and benign ethnic neutropenia, which can obscure diagnostic clarity. Meanwhile, Russian populations face unique challenges, including alcohol-induced marrow suppression and coinfections such as hepatitis C, which exacerbate leukopenia and thrombocytopenia. These disparities are further compounded by differences in healthcare access, nutritional status, and the timing of HIV diagnosis and treatment initiation.
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