Title: Spectrum of Disorders Diagnosed By Bone Marrow Aspiration in Pediatric Population
Authors: Dr Aparajita Tomar, Dr RPS Chauhan, Dr R.K. Nigam
DOI: http://dx.doi.org/10.18535/jmscr/v3i12.24
Abstract
AIMS AND OBJECTIVES – To identify and analyse the most common hematological disorders diagnosed by doing bone marrow aspiration in pediatric patients.
MATERIAL AND METHOD – Bone marrow aspiration was done from Manubrium of the Sternum after injecting 2% xylocaine to the part in addition to sedation with diazepam. Bone marrow smears were prepared and stained with Leishman stain along with the simultaneous staining of the peripheral smears. A complete hemogram including Hb%, PCV, Red cell indices, platelet count, total leucocyte count and differential leucocyte count was also done by Automated cell counter. Finally, the bone marrow and peripheral smears were examined manually under oil immersion.
CONCLUSION - In this study it was found that the most frequently diagnosed hematological disorders on bone marrow aspiration in children are Anemias followed by Idiopathic Thrombocytopenic Purpura (ITP). Hematological disorders are more common in childhood period as compared to late adulthood. If taken individually then ITP cases outnumber the Anemia cases. Commonest leukemia in children is Acute Lymphoblastic Leukemia (ALL) and it follows the Anemias and ITP.
KEYWORDS: Bone Marrow Aspiration, Anemia, Leukemia, Idiopathic Thrombocytopenic Purpura
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