|
|
(100 intermediate revisions by the same user not shown) |
Line 1: |
Line 1: |
| ==Differentiating Pancytopenia from Other Diseases==
| | __NOTOC__ |
| * There are no other mimickers of pancytopenia, as the diagnosis can be unequivocally established by laboratory testing ([[complete blood count]]).
| |
|
| |
|
| {| | | [[Sandbox: wdx]] |
| ! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category
| | |
| ! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition
| | [[Xyz]] |
| ! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
| | |
| ! colspan="3" rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Mechanism
| | [[Abc]] |
| ! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Congenital
| | # [[Sandbox:Preeti]] |
| ! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
| | # [[Lymphoma]] |
| ! colspan="9" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Clinical manifestations
| | # [[Breast lumps differential diagnosis]] |
| ! colspan="8" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Para−clinical findings
| | # [[Neck masses differential diagnosis]] |
| ! colspan="1" rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
| | # [[Leukemia]] |
| ! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
| | {| class="wikitable" |
| | |+ |
| | |- |
| | | colspan="2" |[[:Category:Risk calculator]] |
| | [[Category:Risk calculator]] |
| | |- |
| | | colspan="2" |[[Deep vein thrombosis assessment of clinical probability and risk scores]] |
| | |- |
| | | colspan="2" |[[Pulmonary embolism assessment of clinical probability and risk scores]] |
| | |- |
| | |[[Padua prediction score]] |
| | |[[widget:PaduaVTEscore]] |
| | |- |
| | |[[IMPROVE risk score calculator]] |
| | |[[Widget:IMPROVEScore]] |
| | |- |
| | |[[IMPROVEDD risk score calculator]] |
| | |[[Widget:IMPROVEDDScore]] |
| | |- |
| | |[[Caprini score calculator]] |
| | |[[Widget:CapCal]] |
| | |- |
| | |[[Wells score calculator for DVT]] |
| | |[[Widget:DVT Wells score calculator]] |
| | |- |
| | |[[Modified Wells score calculator for DVT]] |
| | |[[Widget:DVT Modified Wells score calculator]] |
| | |- |
| | |[[Pulmonary embolism Wells score calculator]] |
| | |[[widget:PE_calculator]] |
| | |- |
| | |[[Pulmonary embolism modified Wells score calculator]] |
| | |[[Widget:PE Modified Wells score calculator]] |
| | |- |
| | |[[AMUSE score calculator]] |
| | |[[Widget:AMUSE_score_calculator]] |
| | |- |
| | |[[HAMILTON score calculator]] |
| | |[[Widget:HAMILTON_score_calculator]] |
| | |- |
| | |[[Geneva score calculator]] |
| | |[[Widget:Geneva_score_calculator]] |
| | |- |
| | |[[Revised Geneva score calculator]] |
| | |[[Widget:Revised_Geneva_score_calculator]] |
| | |- |
| | |[[Simplified Geneva Score calculator]] |
| | |[[Widget:Simplified_Geneva_score_calculator]] |
| | |- |
| | |[[TIMI Risk Score for Unstable Angina or NSTEMI]] |
| | |[[Widget:TIMI_UA_NSTEMI]] |
| | |- |
| | |[[TIMI Risk Score for STEMI]] |
| | |[[Widget:TIMI_STEMI]] |
| | |- |
| | |[[Tygerberg score]] |
| | |[[widget:Tygerberg_score]] |
| | |- |
| | |[[CHA2DS2-VASc Score]] |
| | |[[Widget:CHA2DS2VASc]] |
| | |- |
| | |[[CHADS2 score]] |
| | |[[Widget:CHADS2score]] |
| | |- |
| | |[[HAS-BLED score]] |
| | |[[Widget:HASBLEDscore]] |
| | |- |
| | |[[The GRACE risk score]] |
| | |[[Widget:GRACEscore]] |
| | |- |
| | | |
| | | |
| | |- |
| | |[[Ranson criteria]] |
| | [[Acute pancreatitis diagnostic criteria]] |
| | |[[Widget:RansonScore]] |
| | |- |
| | |[[Apgar score]] |
| | |[[Widget:Apgarscore]] |
| | |- |
| | |[[Glasgow coma scale]] |
| | |[[Widget:Adult_GCS]] |
| | |- |
| | |[[Pediatric Glasgow Coma Scale]] |
| | |[[Widget:PGCS]] |
| | |- |
| | |[[Cincinnati stroke scale]] |
| | |[[Widget:Cincinnati_Stroke_Scale]] |
| | |- |
| | |[[DIPSS Plus Score]] |
| | |[[Widget:DIPSS_Plus_Score]] |
| |- | | |- |
| ! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography
| | | colspan="2" |[[ICU scoring systems]] |
| ! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
| |
| ! colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Symptoms
| |
| | colspan="4" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Signs | |
| |- | | |- |
| ! colspan="8" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings
| | |[[APACHE II]] |
| | |[[Widget:APACHEII]] |
| |- | | |- |
| ! colspan="1" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Appearance
| | |[[SAPS II]] |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
| | |[[Widget:SAPSII]] |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
| |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
| |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Splenomegaly
| |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Jaundice
| |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other
| |
| ! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |CBC
| |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |PBS
| |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow exam
| |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
| |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
| |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |UA
| |
| |- | | |- |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow infiltration
| | |[[SAPS III]] |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow failure
| | |[[Widget:SAPSIII]] |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Destruction/
| |
| sequestration/
| |
| redistribution
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Plt
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |HB
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |WBC
| |
| |- | | |- |
| ! rowspan="10" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hematologic disorders
| | |[[PIM2]] |
| ! align="center" style="background:#DCDCDC;" |[[Myelodysplastic syndrome (patient information)|Myelodysplastic syndrome]]<ref name="NatelsonPyatt2013">{{cite journal|last1=Natelson|first1=Ethan A.|last2=Pyatt|first2=David|title=Acquired Myelodysplasia or Myelodysplastic Syndrome: Clearing the Fog|journal=Advances in Hematology|volume=2013|year=2013|pages=1–11|issn=1687-9104|doi=10.1155/2013/309637}}</ref>
| | | |
| | align="left" style="background:#F5F5F5;" |
| | |} |
| * [[Bone marrow]] infiltration
| | ==Table== |
| * Ineffective [[hematopoiesis]]
| | {| |
| | align="center" style="background:#F5F5F5;" | + | | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Complications |
| | align="center" style="background:#F5F5F5;" | + | | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Polymyositis |
| | align="center" style="background:#F5F5F5;" |−
| | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Dermatomyositis |
| | align="center" style="background:#F5F5F5;" | ±
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |Elderly | |
| | align="center" style="background:#F5F5F5;" |Exposure to
| |
| * [[Chemotherapy]]
| |
| * [[Radiation therapy]]
| |
| * [[Tobacco smoking|Tobacco smoke]]
| |
| | align="center" style="background:#F5F5F5;" |
| |
| * [[Petechia|Petechiae]]
| |
| * [[Purpura]]
| |
| * Diffuse erythematous rash
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | Nl | |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |
| |
| * [[Shortness of breath]]
| |
| * [[Fatigue]]
| |
| * [[Pallor]]
| |
| | align="center" style="background:#F5F5F5;" |↓
| |
| | align="center" style="background:#F5F5F5;" |↓
| |
| | align="center" style="background:#F5F5F5;" |↓
| |
| | align="center" style="background:#F5F5F5;" |
| |
| *Ovalomacrocytosis
| |
| *Basophilic stippling
| |
| *[[Howell-Jolly body]]
| |
| *Dysplastic [[Neutrophil|neutrophils]]
| |
| | align="center" style="background:#F5F5F5;" |
| |
| *Impaired [[myeloid]] maturation
| |
| *[[Congenital dyserythropoietic anemia|Dyserythropoiesis]]
| |
| *Dysgranulopoiesis
| |
| *Dysmegakaryocytopoiesis
| |
| *Hypercellular [[bone marrow]]
| |
| *[[Fibrosis]]
| |
| | align="center" style="background:#F5F5F5;" |Nl
| |
| | align="center" style="background:#F5F5F5;" |Nl
| |
| | align="center" style="background:#F5F5F5;" |Nl
| |
| | align="center" style="background:#F5F5F5;" |[[Bone marrow examination]] + clinical manifestation
| |
| | align="center" style="background:#F5F5F5;" |
| |
| *Might transformed to [[acute leukemia]]
| |
| |- | | |- |
| ! align="left" style="background:#DCDCDC;" |Malignancies such as:<ref name="OshimaYuji2013">{{cite journal|last1=Oshima|first1=Yasuo|last2=Yuji|first2=Koichiro|last3=Tanimoto|first3=Tetsuya|last4=Hinomura|first4=Yasushi|last5=Tojo|first5=Arinobu|title=Association between Acute Myelogenous Leukemia and Thrombopoietin Receptor Agonists in Patients with Immune Thrombocytopenia|journal=Internal Medicine|volume=52|issue=19|year=2013|pages=2193–2201|issn=0918-2918|doi=10.2169/internalmedicine.52.0324}}</ref><ref name="pmid24088751">{{cite journal |vauthors=Oshima Y, Yuji K, Tanimoto T, Hinomura Y, Tojo A |title=Association between acute myelogenous leukemia and thrombopoietin receptor agonists in patients with immune thrombocytopenia |journal=Intern. Med. |volume=52 |issue=19 |pages=2193–201 |date=2013 |pmid=24088751 |doi= |url=}}</ref> | | ! align="center" style="background:#DCDCDC;" + |[[Cancer|Malignancy]] |
| * [[Acute leukemia]]
| |
| * [[Chronic leukemia]]
| |
| * [[Multiple myeloma]]
| |
| * [[Metastasis|Metastatic cancer]]
| |
| | align="left" style="background:#F5F5F5;" + | | | | align="left" style="background:#F5F5F5;" + | |
| * [[Bone marrow]] infiltration | | *[[Lung]] |
| * Ineffective [[hematopoiesis]]
| |
| * Immune mediated
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |±
| |
| | align="center" style="background:#F5F5F5;" + |±
| |
| | align="center" style="background:#F5F5F5;" + |Any, more in adults
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *Exposure to chemicals
| |
| *[[Radiation therapy|Radiation]]
| |
| *Pre-existent blood disorders
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| * [[Petechia|Petechiae]]
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |Nl
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |−
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *[[Muscle weakness|Weakness]]
| |
| | align="center" style="background:#F5F5F5;" + |↓
| |
| | align="center" style="background:#F5F5F5;" + |↓
| |
| | align="center" style="background:#F5F5F5;" + |↓
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *[[Pancytopenia]]
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *Blast cells
| |
| *
| |
| | align="center" style="background:#F5F5F5;" + |↑
| |
| | align="center" style="background:#F5F5F5;" + |↑
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *[[Hemoglobinuria]]
| |
| | align="center" style="background:#F5F5F5;" + |Bone marrow examination
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *[[Tumor lysis syndrome]]
| |
| *[[Infection]]
| |
| *[[CNS]] involvement
| |
| *[[Disseminated intravascular coagulation|DIC]]
| |
| |-
| |
| ! align="center" style="background:#DCDCDC;" |[[Myelofibrosis]]<ref name="BaePark2013">{{cite journal|last1=Bae|first1=E.|last2=Park|first2=C.-J.|last3=Cho|first3=Y.-U.|last4=Seo|first4=E.-J.|last5=Chi|first5=H.-S.|last6=Jang|first6=S.|last7=Lee|first7=K.-H.|last8=Lee|first8=J.-H.|last9=Lee|first9=J.-H.|last10=Suh|first10=J.-J.|last11=Im|first11=H.-J.|title=Differential diagnosis of myelofibrosis based on WHO 2008 criteria: Acute panmyelosis with myelofibrosis, acute megakaryoblastic leukemia with myelofibrosis, primary myelofibrosis and myelodysplastic syndrome with myelofibrosis|journal=International Journal of Laboratory Hematology|volume=35|issue=6|year=2013|pages=629–636|issn=17515521|doi=10.1111/ijlh.12101}}</ref>
| |
| | align="left" style="background:#F5F5F5;" + | | | | align="left" style="background:#F5F5F5;" + | |
| * Bone marrow infiltration
| | *[[Lung]] |
| | align="center" style="background:#F5F5F5;" + | +
| | |} |
| | align="center" style="background:#F5F5F5;" + | +
| | <br> |
| | align="center" style="background:#F5F5F5;" + |−
| | ===Calculation of the Padua Prediction Score=== |
| | align="center" style="background:#F5F5F5;" + | +
| | Shown below is a calculator using the predictive score for VTE among hospitalized medical patients. Check all boxes that apply to your patient: |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |Average 60 years old
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *Exposure to chemicals
| |
| *[[Radiation therapy|Radiation]]
| |
| *Pre-existent blood disorders
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| * [[Pallor]] | |
| * Major weight loss
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |Nl
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + | -
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *[[Muscle weakness|Weakness]]
| |
| *[[Fatigue]]
| |
| * [[Dyspnea|Shortness of breath]]
| |
| * [[Headache]]
| |
| | align="center" style="background:#F5F5F5;" + |↓
| |
| | align="center" style="background:#F5F5F5;" + |↓
| |
| | align="center" style="background:#F5F5F5;" + |↓
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *[[Pancytopenia]]
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| * [[Pancytopenia]]
| |
|
| |
|
| *Hypercellular [[bone marrow]]
| | {| style="border: 0; float: left; width: 45%; position: float; background: #104E8B; border-radius: 10px 10px 10px 10px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); margin: 0 0 0 0; padding: 5px 5px; font-weight: bold;" |
| *[[Fibrosis]]
| | | colspan="2" style="text-align: center; color: #FFFFFF; font-size: 120%;" | IMPROVE Bleeding Risk Score |
| | align="center" style="background:#F5F5F5;" + |↑ | | |- |
| | align="center" style="background:#F5F5F5;" + |↑ | | ! style=" text-align: left; color: #4479BA; background: #FFFFFF; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 0 0 rgba(0, 0, 0, 0.2); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Variable |
| | align="center" style="background:#F5F5F5;" + | | | ! style=" text-align: center; color: #4479BA; background: #FFFFFF; border-radius: 5px 5px 5px 5px; text-shadow: 0 0 0 rgba(0, 0, 0, 0.2); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Score |
| *[[Hemoglobinuria]]
| | |- |
| | align="center" style="background:#F5F5F5;" + |Bone marrow examination | | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Active gastric or duodenal ulcer |
| | align="center" style="background:#F5F5F5;" + | | | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |4.5 |
| * [[Cardiac arrhythmia|Arrhythmia]]
| | |- |
| * [[Infection]]
| | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Prior bleeding within the last 3 months |
| * [[Seizure]]
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |4 |
| * May progress to malignancy
| | |- |
| | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Thrombocytopenia (<50x10<sup>9</sup>/L) |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |4 |
| | |- |
| | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Age ≥ 85 years |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |3.5 |
| | |- |
| | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Liver failure (INR>1.5) |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |2.5 |
| | |- |
| | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Severe kidney failure (GFR< 30 mL/min/m<sup>2</sup>) |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |2.5 |
| | |- |
| | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Admission to ICU or CCU |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |2.5 |
| | |- |
| | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Central venous catheter |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |2 |
| | |- |
| | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Rheumatic disease |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |2 |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Fanconi anemia]]<ref name="ZhangBenedetti2015">{{cite journal|last1=Zhang|first1=Qing-Shuo|last2=Benedetti|first2=Eric|last3=Deater|first3=Matthew|last4=Schubert|first4=Kathryn|last5=Major|first5=Angela|last6=Pelz|first6=Carl|last7=Impey|first7=Soren|last8=Marquez-Loza|first8=Laura|last9=Rathbun|first9=R. Keaney|last10=Kato|first10=Shigeaki|last11=Bagby|first11=Grover C.|last12=Grompe|first12=Markus|title=Oxymetholone Therapy of Fanconi Anemia Suppresses Osteopontin Transcription and Induces Hematopoietic Stem Cell Cycling|journal=Stem Cell Reports|volume=4|issue=1|year=2015|pages=90–102|issn=22136711|doi=10.1016/j.stemcr.2014.10.014}}</ref> | | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Active malignancy |
| | align="center" style="background:#F5F5F5;" + |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |2 |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | | |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition | | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Age: 40-84 years |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |1.5 |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow infiltration
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow failure
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Destruction/
| |
| sequestration/
| |
| redistribution
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Congenital
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Appearance
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Splenomegaly
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Jaundice
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other signs
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Plt
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |HB
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |WBC
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PBS
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow exam
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |UA
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Aplastic anemia]]<ref name="DolbergLevy2014">{{cite journal|last1=Dolberg|first1=Osnat Jarchowsky|last2=Levy|first2=Yair|title=Idiopathic aplastic anemia: Diagnosis and classification|journal=Autoimmunity Reviews|volume=13|issue=4-5|year=2014|pages=569–573|issn=15689972|doi=10.1016/j.autrev.2014.01.014}}</ref> | | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Male |
| | align="center" style="background:#F5F5F5;" + |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |1 |
| *Unknown
| |
| | align="center" style="background:#F5F5F5;" + |−
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |−
| |
| | align="center" style="background:#F5F5F5;" + |±
| |
| | align="center" style="background:#F5F5F5;" + |±
| |
| | align="center" style="background:#F5F5F5;" + |Biphasic (the young and the elderly)
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| * Exposure to [[Radiation (medicine)|radiation]], drugs and chemicals, [[pregnancy]], [[Paroxysmal nocturnal hemoglobinuria|PNH]] and viral or [[Autoimmune disease|autoimmune]] causes
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| * [[Pallor]]
| |
| | align="center" style="background:#F5F5F5;" + |− | |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |Nl
| |
| | align="center" style="background:#F5F5F5;" + |−
| |
| | align="center" style="background:#F5F5F5;" + |−
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *[[Shortness of breath]]
| |
| *[[Fatigue]]
| |
| *[[Pallor]]
| |
| | align="center" style="background:#F5F5F5;" + |↓
| |
| | align="center" style="background:#F5F5F5;" + |↓
| |
| | align="center" style="background:#F5F5F5;" + |↓
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *Large [[Red blood cell|RBCs]]
| |
| *Low [[Platelet|platelets]] and [[Granulocyte|granulocytes]]
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *Hypocellular [[bone marrow]]
| |
| *replacement of [[bone marrow]] by [[fat]]
| |
| | align="center" style="background:#F5F5F5;" + |↑
| |
| | align="center" style="background:#F5F5F5;" + |↑
| |
| | align="center" style="background:#F5F5F5;" + |Nl | |
| | align="center" style="background:#F5F5F5;" + |[[Bone marrow examination]] +
| |
| laboratory findings
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *[[Fanconi anemia|Fanconi Anemia]]
| |
| *[[Dyskeratosis congenita]]
| |
| *[[Shwachman-Diamond syndrome|Schwachman-Diamond syndrome]]
| |
| *[[Preleukemia]]
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Paroxysmal nocturnal hemoglobinuria]]<ref name="BoyerGrardel2015">{{cite journal|last1=Boyer|first1=Thomas|last2=Grardel|first2=Nathalie|last3=Copin|first3=Marie-Christine|last4=Roumier|first4=Christophe|last5=Touzart|first5=Aurore|last6=Buchdahl|first6=Anne-Laure|last7=Corm|first7=Sélim|last8=de Latour|first8=Régis Peffault|last9=Preudhomme|first9=Claude|last10=Terriou|first10=Louis|title=Paroxysmal nocturnal hemoglobinuria (PNH) and T cell large granular lymphocyte (LGL) leukemia—an unusual association: another cause of cytopenia in PNH|journal=Annals of Hematology|volume=94|issue=10|year=2015|pages=1759–1760|issn=0939-5555|doi=10.1007/s00277-015-2439-3}}</ref> | | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Moderate kidney failure (GFR: 30-59 mL/min/m<sup>2</sup>) |
| | align="center" style="background:#F5F5F5;" + | | | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |1 |
| *Deficiency of [[complement]] regulatory proteins
| | |- |
| | ! colspan="2" style=" text-align: left; color: #4479BA; background: #FFFFFF; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 0 0 rgba(0, 0, 0, 0.2); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Result: |
| | |- |
| | ! colspan="2" style=" text-align: left; color: #4479BA; background: #FFFFFF; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 0 0 rgba(0, 0, 0, 0.2); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Interpretation: |
| | |} |
| | <br style="clear:left" /> |
|
| |
|
| *Mutations
| | ===Calculation of the test Prediction Score=== |
| | align="center" style="background:#F5F5F5;" + | +
| | Shown below is a calculator using the predictive score for VTE among hospitalized medical patients. Check all boxes that apply to your patient: |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |−
| |
| | align="center" style="background:#F5F5F5;" + |−
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |Any age
| |
| (usually younger adults)
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *Sudden [[nocturnal]] [[hemoglobinuria]] with partial clearing during the day
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| * Normal
| |
| | align="center" style="background:#F5F5F5;" + |−
| |
| | align="center" style="background:#F5F5F5;" + |−
| |
| | align="center" style="background:#F5F5F5;" + |Nl
| |
| | align="center" style="background:#F5F5F5;" + |−
| |
| | align="center" style="background:#F5F5F5;" + |−
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *[[Thrombosis]]
| |
| *Smooth muscle [[dystonia]]
| |
| | align="center" style="background:#F5F5F5;" + |↓/Nl
| |
| | align="center" style="background:#F5F5F5;" + |↓
| |
| | align="center" style="background:#F5F5F5;" + |↓/Nl
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *[[Pancytopenia]]
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| *Cellular [[Bone marrow|marrow]]
| |
| *[[Erythroid]] [[hyperplasia]]
| |
| *[[dyserythropoiesis]]
| |
|
| |
|
| *Hypocellular marrow in certain stages of the disease
| | {| style="border: 0; float: left; width: 45%; position: float; background: #104E8B; border-radius: 10px 10px 10px 10px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); margin: 0 0 0 0; padding: 5px 5px; font-weight: bold;" |
| | align="center" style="background:#F5F5F5;" + |Nl | | | colspan="2" style="text-align: center; color: #FFFFFF; font-size: 120%;" | IMPROVE Bleeding Risk Score |
| | align="center" style="background:#F5F5F5;" + |Nl | | |- |
| | align="center" style="background:#F5F5F5;" + | | | ! style=" text-align: left; color: #4479BA; background: #FFFFFF; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 0 0 rgba(0, 0, 0, 0.2); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Variable |
| *[[Hemoglobinuria]]
| | ! style=" text-align: center; color: #4479BA; background: #FFFFFF; border-radius: 5px 5px 5px 5px; text-shadow: 0 0 0 rgba(0, 0, 0, 0.2); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Score |
| | align="center" style="background:#F5F5F5;" + |[[Flow cytometry]]
| | |- |
| | align="center" style="background:#F5F5F5;" + | | | ! rowspan="2" style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Gender |
| *[[Chronic renal failure]]
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Female |
| *[[Pulmonary hypertension]]
| | |- |
| *[[Aplastic anemia]]
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Male |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Disseminated intravascular coagulation]]<ref name="HossainPaidas2013">{{cite journal|last1=Hossain|first1=Nazli|last2=Paidas|first2=Michael J.|title=Disseminated intravascular coagulation|journal=Seminars in Perinatology|volume=37|issue=4|year=2013|pages=257–266|issn=01460005|doi=10.1053/j.semperi.2013.04.008}}</ref> | | ! rowspan="4" style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Age |
| | align="center" style="background:#F5F5F5;" + |Consumption
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |0-70 |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | | |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |Dyskeratosis congenital/telomere biology disorders<ref name="PaivaCalado2014">{{cite journal|last1=Paiva|first1=Raquel M.A.|last2=Calado|first2=Rodrigo T.|title=Telomere Dysfunction and Hematologic Disorders|volume=125|year=2014|pages=133–157|issn=18771173|doi=10.1016/B978-0-12-397898-1.00006-2}}</ref>
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |71-80 |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Shwachman-Diamond syndrome]]<ref name="GokceTuncer2012">{{cite journal|last1=Gokce|first1=Muge|last2=Tuncer|first2=Murat|last3=Cetin|first3=Mualla|last4=Gumruk|first4=Fatma|title=Molecular Diagnosis of Shwachman-Diamond Syndrome Presenting with Pancytopenia at an Early Age: The First Report from Turkey|journal=Indian Journal of Hematology and Blood Transfusion|volume=29|issue=3|year=2012|pages=161–163|issn=0971-4502|doi=10.1007/s12288-012-0163-x}}</ref>
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |81-90 |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! rowspan="6" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Immunology/
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |>90 |
| Rheumatology
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow infiltration
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow failure
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Destruction/
| |
| sequestration/
| |
| redistribution
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Congenital
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Appearance
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Splenomegaly
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Jaundice
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other signs
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Plt
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |HB
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |WBC
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PBS
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow exam
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |UA
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[SLE]]<ref name="NewmanOwlia2013">{{cite journal|last1=Newman|first1=Kam|last2=Owlia|first2=Mohammad Bagher|last3=El-Hemaidi|first3=Ihab|last4=Akhtari|first4=Mojtaba|title=Management of immune cytopenias in patients with systemic lupus erythematosus — Old and new|journal=Autoimmunity Reviews|volume=12|issue=7|year=2013|pages=784–791|issn=15689972|doi=10.1016/j.autrev.2013.02.001}}</ref> | | ! rowspan="5" style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Hgb ('''g/dL)''' |
| | align="center" style="background:#F5F5F5;" + |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |>17 '''g/dL''' |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | | |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Felty's syndrome|Felty syndrome]]<ref name="LiatsosTsironi2018">{{cite journal|last1=Liatsos|first1=George D.|last2=Tsironi|first2=Ioanna|last3=Vassilopoulos|first3=Dimitrios|last4=Dourakis|first4=Spyridon|title=Severe pancytopenia and splenomegaly associated with felty's syndrome, both fully responsive solely to corticosteroids|journal=Clinical Case Reports|volume=6|issue=3|year=2018|pages=509–512|issn=20500904|doi=10.1002/ccr3.1396}}</ref>
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |15.5-17 '''g/dL''' |
| | align="center" style="background:#F5F5F5;" + | | |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Wiskott-Aldrich syndrome|Wiskott Aldrich syndrome]]<ref name="pmid1960605">{{cite journal |vauthors=Brochstein JA, Gillio AP, Ruggiero M, Kernan NA, Emanuel D, Laver J, Small T, O'Reilly RJ |title=Marrow transplantation from human leukocyte antigen-identical or haploidentical donors for correction of Wiskott-Aldrich syndrome |journal=J. Pediatr. |volume=119 |issue=6 |pages=907–12 |date=December 1991 |pmid=1960605 |doi= |url=}}</ref>
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |12.5-15.5 '''g/dL''' |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[GATA2]] deficiency<ref name="SanyiJaye2018">{{cite journal|last1=Sanyi|first1=Allen|last2=Jaye|first2=David L.|last3=Rosand|first3=Cecilia B.|last4=Box|first4=Amanda|last5=Shanmuganathan|first5=Chandrakasan|last6=Waller|first6=Edmund K.|title=Diagnosis of GATA2 haplo-insufficiency in a young woman prompted by pancytopenia with deficiencies of B-cell and dendritic cell development|journal=Biomarker Research|volume=6|issue=1|year=2018|issn=2050-7771|doi=10.1186/s40364-018-0127-x}}</ref>
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |12.5-11 '''g/dL''' |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Hemophagocytic lymphohistiocytosis]]<ref name="Larroche2012">{{cite journal|last1=Larroche|first1=Claire|title=Hemophagocytic lymphohistiocytosis in adults: Diagnosis and treatment|journal=Joint Bone Spine|volume=79|issue=4|year=2012|pages=356–361|issn=1297319X|doi=10.1016/j.jbspin.2011.10.015}}</ref>
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |<11 '''g/dL''' |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |GI disorders | | ! rowspan="2" style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |CrCl (mL/min) |
| ! align="center" style="background:#DCDCDC;" |[[Portal hypertension]]/[[cirrhosis]]<ref name="SarinKhanna2014">{{cite journal|last1=Sarin|first1=Shiv K.|last2=Khanna|first2=Rajeev|title=Non-cirrhotic Portal Hypertension|journal=Clinics in Liver Disease|volume=18|issue=2|year=2014|pages=451–476|issn=10893261|doi=10.1016/j.cld.2014.01.009}}</ref><ref name="AksoyKoklu2015">{{cite journal|last1=Aksoy|first1=Evrim K.|last2=Koklu|first2=Seyfettin|title=Albendazole-Induced Cirrhosis Decompensation and Pancytopenia|journal=Annals of Pharmacotherapy|volume=49|issue=8|year=2015|pages=945–946|issn=1060-0280|doi=10.1177/1060028015590178}}</ref>
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |30-60 mL/min |
| | align="left" style="background:#F5F5F5;" + |
| |
| * Splenomegally
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | | |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Glycogen storage disease|Storage diseases]] (eg, [[Gaucher's disease|Gaucher]])<ref name="Düzenli KarÖzdemir2018">{{cite journal|last1=Düzenli Kar|first1=Yeter|last2=Özdemir|first2=Zeynep C.|last3=Kiral|first3=Eylem|last4=Kiliç Yildirim|first4=Gonca|last5=Dinleyici|first5=Ener Ç.|last6=Bör|first6=Özcan|title=Hemophagocytic Lymphohystiocytosis Associated With Type Ia Glycogen Storage Disease|journal=Journal of Pediatric Hematology/Oncology|year=2018|pages=1|issn=1077-4114|doi=10.1097/MPH.0000000000001208}}</ref>
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |15-30 mL/min |
| | align="left" style="background:#F5F5F5;" + |
| |
| * Splenomegaly
| |
| * Bone marrow infiltration
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Infections | | ! rowspan="2" style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Albumin |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |>3.5 g/dL |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow infiltration
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow failure
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Destruction/
| |
| sequestration/
| |
| redistribution
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Congenital
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Appearance
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Splenomegaly
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Jaundice
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other signs
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Plt
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |HB
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |WBC
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PBS
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow exam
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |UA
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Sepsis]]<ref name="TendasNiscola2010">{{cite journal|last1=Tendas|first1=Andrea|last2=Niscola|first2=Pasquale|last3=Dentamaro|first3=Teresa|last4=Cupelli|first4=Luca|last5=Di Matteo|first5=Gigliola|last6=Finocchi|first6=Andrea|last7=Siniscalchi|first7=Agostina|last8=Fratoni|first8=Stefano|last9=Scimò|first9=Teresa|last10=Scaramucci|first10=Laura|last11=Giovannini|first11=Marco|last12=Ales|first12=Micaela|last13=Pio Perrotti|first13=Alessio|last14=de Fabritiis|first14=Paolo|title=Pancytopenia and severe sepsis in an adult case of congenital X-linked agammaglobulinemia (XLA)|journal=Annals of Hematology|volume=89|issue=9|year=2010|pages=949–951|issn=0939-5555|doi=10.1007/s00277-009-0891-7}}</ref>
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |≤3.5 g/dL |
| | align="left" style="background:#F5F5F5;" + |
| |
| * Bone marrow infiltration
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Infection|Viral infection]] such as [[Human Immunodeficiency Virus (HIV)|HIV]], [[hepatitis]], [[Epstein Barr virus|Epstein-Barr virus]]<ref name="Santiago-RodríguezMayor2015">{{cite journal|last1=Santiago-Rodríguez|first1=Eduardo|last2=Mayor|first2=Angel|last3=Fernández-Santos|first3=Diana|last4=Hunter-Mellado|first4=Robert|title=Profile of HIV-Infected Hispanics with Pancytopenia|journal=International Journal of Environmental Research and Public Health|volume=13|issue=1|year=2015|pages=38|issn=1660-4601|doi=10.3390/ijerph13010038}}</ref> | | ! rowspan="2" style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |D-dimer |
| | align="left" style="background:#F5F5F5;" + |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |≥1 µg/mL |
| * Marrow suppression
| |
| * Splenomegaly
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | | |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Nutritional
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |<1 µg/mL |
| ! align="center" style="background:#DCDCDC;" |[[Macrocytic anemia|Megaloblastic anemia]]<ref name="pmid24669609">{{cite journal |vauthors=Khattak MB, Ismail M, Marwat ZI, Khan F |title=Frequency and characterisation of pancytopenia in megaloblastic anaemia |journal=J Ayub Med Coll Abbottabad |volume=24 |issue=3-4 |pages=53–5 |date=2012 |pmid=24669609 |doi= |url=}}</ref>
| |
| | align="left" style="background:#F5F5F5;" + |
| |
| * Ineffective hematopoiesis
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |Excessive [[alcohol]]<ref name="pmid3671238">{{cite journal |vauthors=Weston CF, Hall MJ |title=Pancytopenia and folate deficiency in alcoholics |journal=Postgrad Med J |volume=63 |issue=736 |pages=117–20 |date=February 1987 |pmid=3671238 |pmc=2428237 |doi= |url=}}</ref> | | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |ICU admission |
| | align="left" style="background:#F5F5F5;" + |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" | |
| * Ineffective hematopoiesis
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | | |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |Other nutritional deficiency such as [[copper deficiency]], [[zinc]] toxicity<ref name="pmid23652881">{{cite journal |vauthors=Hudspeth M, Turner A, Miller N, Lazarchick J |title=Pancytopenia after allogeneic bone marrow transplant due to copper deficiency |journal=J. Pediatr. Hematol. Oncol. |volume=36 |issue=4 |pages=316–8 |date=May 2014 |pmid=23652881 |doi=10.1097/MPH.0b013e318290c644 |url=}}</ref><ref name="pmid24082414">{{cite journal |vauthors=Robinson SD, Cooper B, Leday TV |title=Copper deficiency (hypocupremia) and pancytopenia late after gastric bypass surgery |journal=Proc (Bayl Univ Med Cent) |volume=26 |issue=4 |pages=382–6 |date=October 2013 |pmid=24082414 |pmc=3777101 |doi= |url=}}</ref> | | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Acute stroke on hospitalization |
| | align="left" style="background:#F5F5F5;" + |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" | |
| * Ineffective hematopoiesis
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | | |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! align="center" style="background:#DCDCDC;" |[[Malnutrition]]<ref name="DragusinMurray2015">{{cite journal|last1=Dragusin|first1=Roxana C.|last2=Murray|first2=Jean-Michel|last3=Mallet|first3=Dominique|last4=Gonzalez|first4=Hugo|last5=Markou|first5=Georges A.|title=Pancytopenia related to malnutrition during pregnancy|journal=International Journal of Gynecology & Obstetrics|volume=130|issue=1|year=2015|pages=86–87|issn=00207292|doi=10.1016/j.ijgo.2015.02.020}}</ref> | | ! style=" text-align: left; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |History of VTE |
| | align="left" style="background:#F5F5F5;" + |
| | | style=" text-align: center; color: #FFFFFF; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" | |
| * Ineffective hematopoiesis
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | | |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| |- | | |- |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Medications | | ! colspan="2" style=" text-align: left; color: #4479BA; background: #FFFFFF; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 0 0 rgba(0, 0, 0, 0.2); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Result: |
| ! align="left" style="background:#DCDCDC;" |Medications such as:<ref name="pmid22862866">{{cite journal |vauthors=Kelm DJ, Torres KM, Sohail MR |title=46-year-old man with fevers, chills, and pancytopenia |journal=Mayo Clin. Proc. |volume=87 |issue=8 |pages=799–802 |date=August 2012 |pmid=22862866 |pmc=3498402 |doi=10.1016/j.mayocp.2012.03.012 |url=}}</ref><ref name="pmid24937727">{{cite journal |vauthors=Davis SA, Krowchuk DP, Feldman SR |title=Prescriptions for a toxic combination: use of methotrexate plus trimethoprim-sulfamethoxazole in the United States |journal=South. Med. J. |volume=107 |issue=5 |pages=292–3 |date=May 2014 |pmid=24937727 |doi=10.1097/SMJ.0000000000000098 |url=}}</ref>
| |
| * [[Chemotherapy|Cytotoxic drugs]]
| |
| * Idiosyncratic reactions to medications
| |
| | align="left" style="background:#F5F5F5;" + |
| |
| * Immune destruction
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | +
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + |
| |
| | align="center" style="background:#F5F5F5;" + | | |
| |- | | |- |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category | | ! colspan="2" style=" text-align: left; color: #4479BA; background: #FFFFFF; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 0 0 rgba(0, 0, 0, 0.2); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" |Interpretation: |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow infiltration
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow failure
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Destruction/
| |
| sequestration/
| |
| redistribution
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Congenital
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Appearance
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Splenomegaly
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Jaundice
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other signs
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Plt
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |HB
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |WBC
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PBS
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bone marrow exam
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |UA
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
| |
| |} | | |} |
| | <br style="clear:left" /> |
| | |
| | ===Interpretation of the Padua Prediction Score=== |
| | The interpretation of the score is as follows: |
| | * Score ≥ 4: High risk for VTE |
| | * Score < 4: Low risk for VTE |
| | ==References== |
| <references /> | | <references /> |