Contributions
Abstract: PB1537
Type: Publication Only
Session title: Enzymopathies, membranopathies and other anemias
Background
Anemia of unknown etiology is a major problem for hematologists and requires a wide range of studies. One of the main investigations at this time is bone marrow examination.
Aims
This study was designed to determine the diagnostic importance of bone marrow aspiration in children with anemia of unknown etiology during 5 years (2016-2020).Study place: Children’s clinic, hematology department, Tbilisi, Georgia.
Methods
A total of 50 children, aged 2 month to 16 years presenting with anemia, whose cause cannot be established on detailed history, physical and routine laboratory examinations, were referred for bone marrow aspiration during the study period. Patients having malignancies, blast cells on peripheral blood film and other causes associated marrow suppression were excluded from the study.
Results
Out of 50 cases presenting with unexplained anemia, about 7 (14%) made up rare anemias: congenital form of vitamin B12 deficiency anemia-2 (1-Imerslund-Grasbeck syndrome), congenital dyserithropoietic anemia type II-1, pure red cell aplasia (Diamond-Blackfan syndrome)-2, congenital sideroblastic anemia-1, iron refractory iron deficiency anemia 1. It was also revealed bone marrow megaloblastic changes caused by a acquired forms of B12 deficiency-8 (16%), folic acid deficiency-2 (4%).13 cases were iron deficiency anemia (26%),6 cases were of anemia of chronic disease (12%),4 cases as hemolytic anemia unknown etiology (8%).About 5 cases as aplastic anemia (10%). 5 Cases of anemia remain undiagnosed (10%).
Conclusion
Research data analysis demonstrate that the bone marrow aspiration is essential and necessary and should be performed as soon as possible in all cases of unexplained anemia. This examination successfully provide diagnostic evolution and confirmation of anemia where cause cannot be found by routine laboratory investigations in most cases (90%).It gives us precise direction to conduct additional studies to confirm the diagnosis. Accurate examination of bone marrow is crucial in diagnosis of very rare anemias. The final morphological interpretation of bone marrow aspirate smears reveals specific abnormalities of various anemias and helps hematologists choose the right direction in disease management.
Keyword(s): Anemia, Bone marrow biopsy
Abstract: PB1537
Type: Publication Only
Session title: Enzymopathies, membranopathies and other anemias
Background
Anemia of unknown etiology is a major problem for hematologists and requires a wide range of studies. One of the main investigations at this time is bone marrow examination.
Aims
This study was designed to determine the diagnostic importance of bone marrow aspiration in children with anemia of unknown etiology during 5 years (2016-2020).Study place: Children’s clinic, hematology department, Tbilisi, Georgia.
Methods
A total of 50 children, aged 2 month to 16 years presenting with anemia, whose cause cannot be established on detailed history, physical and routine laboratory examinations, were referred for bone marrow aspiration during the study period. Patients having malignancies, blast cells on peripheral blood film and other causes associated marrow suppression were excluded from the study.
Results
Out of 50 cases presenting with unexplained anemia, about 7 (14%) made up rare anemias: congenital form of vitamin B12 deficiency anemia-2 (1-Imerslund-Grasbeck syndrome), congenital dyserithropoietic anemia type II-1, pure red cell aplasia (Diamond-Blackfan syndrome)-2, congenital sideroblastic anemia-1, iron refractory iron deficiency anemia 1. It was also revealed bone marrow megaloblastic changes caused by a acquired forms of B12 deficiency-8 (16%), folic acid deficiency-2 (4%).13 cases were iron deficiency anemia (26%),6 cases were of anemia of chronic disease (12%),4 cases as hemolytic anemia unknown etiology (8%).About 5 cases as aplastic anemia (10%). 5 Cases of anemia remain undiagnosed (10%).
Conclusion
Research data analysis demonstrate that the bone marrow aspiration is essential and necessary and should be performed as soon as possible in all cases of unexplained anemia. This examination successfully provide diagnostic evolution and confirmation of anemia where cause cannot be found by routine laboratory investigations in most cases (90%).It gives us precise direction to conduct additional studies to confirm the diagnosis. Accurate examination of bone marrow is crucial in diagnosis of very rare anemias. The final morphological interpretation of bone marrow aspirate smears reveals specific abnormalities of various anemias and helps hematologists choose the right direction in disease management.
Keyword(s): Anemia, Bone marrow biopsy