COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804

Covid Alert


Print ISSN:-2394-6784

Online ISSN:-2394-6792

CODEN : IJPOF3

Current Issue

Year 2020

Volume: 7 , Issue: 2

Article Access statistics

Viewed: 321

Emailed: 0

PDF Downloaded: 188

Indian Journal of Pathology and Oncology


Role of basic haematological investigations in the evaluation of pancytopenia


Full Text PDF Share on Facebook Share on Twitter


Research Article

Author Details : Poornakala S, Kavitha Ravi*

Volume : 6, Issue : 4, Year : 2019

Article Page : 520-525


Suggest article by email


Abstract

Introduction: Pancytopenia is a caused by single or different co-existing pathology. As the management
and prognosis depends on underlying pathology, identification of correct aetiology is crucial.
Aims: The current study intends to study the etiological profile of Pancytopenia and to identify the CBC,
peripheral smear findings which are helpful in planning the additional investigations to arrive at a specific
diagnosis.
Materials and Methods: It is a retrospective descriptive study conducted in a tertiary care centre in
Kerala.132 Cases of Bone marrow aspirates with the indication of pancytopenia, received from January
2011 to June 2012 were analyzed. The etiological profile was studied. The clinical features, Hemoglobin,
Total Leukocyte count, Platelet count and Peripheral smear findings were evaluated in detail.
Results: The most common cause of Pancytopenia in the present study is Sub leukemic leukemia
(23.5%) followed by Hypersplenism (17.4%) and Megaloblastic Anemia (14.3%). Age range was from
12 to 88 years and Males and Females were almost equal in distribution. Hepatomegaly, Splenomegaly
were seen in 19% and 28% cases respectively. Lowest median Hemoglobin value was observed in
Megaloblastic Anemia whereas Leucopenia and Thrombocytopenia were most severe in Hypoplastic
Anemia. Anisopoikilocytosis, Polychromasia, circulating normoblasts and Hypersegmented neutrophils
were predominant in Megaloblastic Anemia. Relative Lymphocytosis was predominant in Hypoplastic
anemia whereas Immature WBCs were seen commonly in acute leukemia.
Conclusion: This study highlights the importance of the primary haematological investigations, which are
helpful in narrowing down the differential diagnosis and to plan the further investigations to arrive at a
definite diagnosis.

Keywords: Complete blood count, Peripheral smear, Bone marrow, Sub- acute leukaemia, Megaloblastic anaemia.

Doi : 10.18231/j.ijpo.2019.101

How to cite : Poornakala S, Ravi K, Role of basic haematological investigations in the evaluation of pancytopenia. Indian J Pathol Oncol 2019;6(4):520-525

Copyright © 2019 by author(s) and Indian J Pathol Oncol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)