Plastic anemia, which is pancytopenia with a fatty or "empty"bone marrow, is remarkable for the simplicity of its pathologicpicture and the direct derivation of its clinical manifestations.1Although it is not a common disease, the drama of an individualcase and the larger consequences of its associations give itconsiderable interest. That aplastic anemia is perhaps the mostdreaded idiosyncratic complication of drug treatment has seriousand often expensive consequences for drug development, for riskassessment, for approval by regulatory agencies, and in legalactions.
Aplastic anemia, first described by Paul Ehrlich in 1888 froman autopsy of . . . [Full Text of this Article]
Hematopoiesis in Bone Marrow Failure
Stem Cells
Stroma and Hematopoietic Growth Factors
Medical Therapy and Inferences about the Mechanism of Disease
Direct Hematopoietic Injury
Immune-Mediated Bone Marrow Failure
Immune Destruction of Hematopoietic Cells
Inciting Events
Hepatitis, Aplastic Anemia, and Viruses
Drugs as Antigens
Relation to Late Clonal Hematologic Disorders
Aplastic Anemia and Other Immune-Mediated Diseases
Source Information
From the Hematology Branch, National Heart, Lung, and Blood Institute, Bldg. 10, Rm. 7C103, NIH, 9000 Rockville Pike, Bethesda, MD 20892-1652, where reprint requests should be addressed to Dr. Young.
References
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