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Table 2 Comparison of number of cases, age and sex distribution and four most common causes of pancytopenia in different studies conducted in different countries

From: An etiological reappraisal of pancytopenia - largest series reported to date from a single tertiary care teaching hospital

Study

Country

Year

No. of cases

Age group

M : F ratio

Commonest cause

2nd common cause

3rd common cause

4th common cause

Kale P et al.[6]

India

1991

70

All

-

HS (47.6%)

MA (25.4%)

AL (14.5%)

Infections (7.25%)

Tilak and Jain et al.[4]

India

1999

77

5 to 70

1.1 : 1

MA (68%)

AA (7.7%)

Other causes (24.3%)

 

Savage et al.[7]

Zimbabwe

1999

134

All

-

MA

AA

AL

AIDS

Kumar et al.[5]

India

2001

166

12 - 73

2.1 : 1

AA (29.5%)

MA (22.3%)

Aleukemic leukemia (12%)

HS (11.4%)

Iqbal W et al.[8]

Pakistan

2001

208

All

-

MA (28.3%)

AA (22.1%)

HS (14.4%)

NHL (5.3%)

Khunger et al.[9]

India

2002

200

2 - 70

1.2 : 1

MA (72%)

AA (28%)

Subleukemic leukemia (5%)

HS (3%)

Niazi M. et al.[10]

Pakistan

2004

89

1 - 75

1.7 : 1

BM Aplasia (38.3%)

MA (24.7%)

HS (18.4%)

AL (13.6%)

Ishtiaq O et al.[3]

Pakistan

2004

100

12 - 82

1.1 : 1

MA (39%)

HS (19%)

AA and HA (10%)

MDS (5%)

Hamid et al. [11]

Yemen

2008

75

3 - 85

1.03 : 1

HS (45.3%)

MA (14.7%)

AA (13.3%)

AL (13.3%)

P. M. devi et al.[12]

India

2008

50

3 - 80

1.5 : 1

HA (22%)

MA (18%)

MDS (18%)

Subleukemic leukemia (14%)

Jalbani A. et al.[13]

Pakistan

2009

40

12 - 70

2.6 : 1

AA (32.5%)

HS (22.5%)

MA (15%)

NHL (10%)

Tariq M. et al.[14]

Pakistan

2010

50

15 - 70

1.7 : 1

AA (36%)

MA (16%)

MDS (14%)

ALL (12%)

Santra G. et al.[15]

India

2010

111

13 - 65

1.5 : 1

AA (22.72%)

HS (15%)

DI (13%)

KA (9%)

Aziz T. et al.[16]

Pakistan

2010

88

15 - 60

2.6 : 1

MA (40.9%)

AA (31.9%)

HS and CM (11.4%)

AL (10%)

Ashraf S. et al.[17]

Pakistan

2010

150

15 - 60

1.1 : 1

HS (68%)

MA (25.4%)

HM (6.6%)

 

Gayathri B. N. et al.[18]

India

2011

104

2 - 80

1.2 : 1

MA (74.04%)

AA (18.3%)

Subleukemic leukemia (3.8%)

Malaria (2%)

Vandana R. et al.[19]

India

2012

80

1 - 79

1 : 1.2

MA (41.2%)

DA (8.7%)

AA / HA (8.7%)

AL (7.5%)

Present study

India

 

250

All

2.6 : 1

HS (29.2%)

Infections (25.6%)

Myelosuppressants (16.8%)

MA (13.2%)

  1. HS: Hypersplenism; MA: Megaloblastic anemia; AA: Aplastic Anemia; AL: Acute leukemia; HA: Hypoplastic anemia; BM: Bone marrow; DI: Drug induced; KA: Kala-azar; CM: Chronic malaria; HM: Hypoplastic marrow; NHL: Non-Hodgkin’s lymphoma; MDS: Myelodysplastic syndrome; ALL: Acute lymphoblastic leukemia; DA: Dimorphic Anemia.