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| printer friendly | ACQUIRED APLASTIC ANAEMIA | ||||||||||||||||||||
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Acquired Aplastic Anaemia: aAA; Acquired Aplastic Anemia (US) Acquired Aplastic Anaemia (aAA) affects around 2 in 1,000,000 children every year. Affected children develop low blood counts due to failure of production by the bone marrow. Although aAA can be triggered by viral infections, drugs or exposure to toxic substances in most cases there is no evidence of a specific cause. The disorder may be due either to a defect in early blood forming cells (stem cells) or to an attack by the body's own immune system, especially T lymphocytes. aAA rarely improves spontaneously and treatment by a bone marrow transplant or immune suppressive drugs is required. Both these treatments are now highly effective so that most children respond well. The commonly used drugs for immune suppression are anti-lymphocyte globulin (ALG) and cyclosporin (CSA). With both forms of treatment supportive care including intermittent blood and platelet transfusion and antibiotics are usually necessary until the bone marrow recovers. Inheritance patterns Prenatal diagnosis Medical text written July 1997 by Dr D Webb. Last reviewed October 2003 by Dr D Webb, Consultant Paediatric Haematologist/Oncologist, Great Ormond Street Hospital, London, UK.
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