Aplastic Anemia

Overview


Plain-Language Overview

Aplastic anemia is a rare but serious condition where the bone marrow, the soft tissue inside bones, stops producing enough new blood cells. This affects the body's ability to make red blood cells, which carry oxygen; white blood cells, which fight infections; and platelets, which help blood clot. Because of this, people with aplastic anemia may feel very tired, bruise easily, or get frequent infections. The condition involves the hematologic system, which is responsible for blood cell production. It can develop suddenly or gradually and requires medical evaluation to determine the cause and severity. The lack of blood cells can lead to significant health problems, including bleeding and infections.

Clinical Definition

Aplastic anemia is a hematologic disorder characterized by pancytopenia and a hypocellular bone marrow due to failure of hematopoietic stem cells. The core pathology involves immune-mediated destruction or suppression of multipotent stem cells, often triggered by drugs, toxins, infections, or idiopathic causes. It results in decreased production of erythrocytes, leukocytes, and platelets, leading to anemia, increased infection risk, and bleeding tendencies. The condition is clinically significant because it can cause life-threatening complications if untreated. Diagnosis requires exclusion of other marrow failure syndromes and malignancies. It is important to recognize the role of T-cell mediated immune attack in most acquired cases. Congenital forms, such as those involving FANCA mutations, also exist but are less common.

Inciting Event

Locked content

Latency Period

Locked content

Diagnostic Delay

Locked content

Clinical Presentation


Signs & Symptoms

Locked content

History of Present Illness

Locked content

Past Medical History

Locked content

Family History

Locked content

Physical Exam Findings

Locked content

Diagnostic Workup


Diagnostic Criteria

Locked content

Pathophysiology


Key Mechanisms

Locked content

Organs

Locked content

Tissues

Locked content

Cells

Locked content

Chemical Mediators

Locked content

Treatments


Pharmacological Treatments

Locked content

Non-pharmacological Treatments

Locked content

Prevention


Pharmacological Prevention

Locked content

Non-pharmacological Prevention

Locked content

Outcome & Complications


Complications

Locked content

Short-term Sequelae

Locked content

Long-term Sequelae

Locked content

Differential Diagnoses


Differentials

Locked content

Medical Disclaimer: The content on this site is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you think you may be experiencing a medical emergency, call 911 or your local emergency number immediately. Always consult a licensed healthcare professional with questions about a medical condition.

Artificial Intelligence Use: Portions of this site’s content were generated or assisted by AI and reviewed by Erik Romano, MD; however, errors or omissions may occur.

USMLE® is a registered trademark of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Doctogenic and Roscoe & Romano are not affiliated with, sponsored by, or endorsed by the USMLE, FSMB, or NBME. Neither FSMB nor NBME has reviewed or approved this content. "USMLE Step 1" and "USMLE Step 2 CK" are used only to identify the relevant examinations.