articleBritish Journal of HaematologyJan 21, 2024BRONZE OA

Guidelines for the diagnosis and management of adult aplastic anaemia: A British Society for Haematology Guideline

King's College London · King's College Hospital NHS Foundation Trust · +20 more institutions

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Abstract

Pancytopenia with hypocellular bone marrow is the hallmark of aplastic anaemia (AA) and the diagnosis is confirmed after careful evaluation, following exclusion of alternate diagnosis including hypoplastic myelodysplastic syndromes. Emerging use of molecular cyto-genomics is helpful in delineating immune mediated AA from inherited bone marrow failures (IBMF). Camitta criteria is used to assess disease severity, which along with age and availability of human leucocyte antigen compatible donor are determinants for therapeutic decisions. Supportive care with blood and platelet transfusion support, along with anti-microbial prophylaxis and prompt management of opportunistic infections remain key throughout the…

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