Diagnosis
Aplastic anaemia is suspected when pancytopenia is accompanied by a hypocellular marrow. Bone marrow biopsy, cytogenetics and flow cytometry are needed, and inherited marrow failure syndromes must be excluded.
Related: Haematology → · Dr. Sachita Baniya profile → · All conditions →
Treatment
Supportive care includes transfusion and infection prevention. Younger patients with a matched sibling donor may undergo allogeneic transplant. Others may receive immunosuppressive therapy with antithymocyte globulin and ciclosporin, with eltrombopag in selected cases.
- Transfusion and infection support
- Allogeneic transplant assessment
- Immunosuppressive therapy
- Growth factor support in selected patients
- Long-term monitoring for relapse or clonal evolution
Access
Dr. Baniya consults at Kathmandu Neurology Clinic & Cognitive Center, Durbar Marg, and also practises at Kathmandu Cancer Center (KCC) Nepal, Civil Service Hospital, Kathmandu, and Advanced Care Hospital. Urgent assessment is advised for fever or bleeding.