Pure White Cell Aplasia Associated with Secondary Hemophagocytosis: Experience from the Indus Hospital

نویسندگان

چکیده

Pure white cell aplasia (PWCA), also known as agranulocytosis without granulopoiesis, is an uncommon condition that causes neutropenia. If linked with thymomas or medication-induced PWCA, surgical thymectomy drug cessation may be therapeutically helpful. Here we present the case of adult 18-year-old male came at The Indus Hospital and Health Network (IHHN) , Karachi in-patient department (IPD) a complaint colicky abdominal pain loose stools for 10 days were watery in consistency large amount, 6-7 episodes per day, which he was taking flagyl. 5 later, patient developed high grade fever (102°F) on off chills regressed antipyretic. had decreased appetite 2-3 vomiting. He history dengue Posterior Inferior Cerebellar Artery (PICA).Laboratory work-up revealed been suffering from severe His bone marrow biopsy indicated absolute neutropenia normocellular demonstrating virtually total lack myeloid progenitors, maintenance erythroid megakaryocytic lineages, findings strongly indicative PWCA secondary hemophagocytosis.
 Findings highlights importance unusual clinical hemophagocytosis. aggressive course idiopathic variant necessitates early immunosuppressive treatment.

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ژورنال

عنوان ژورنال: International blood research & reviews

سال: 2023

ISSN: ['2321-7219']

DOI: https://doi.org/10.9734/ibrr/2023/v14i3307