Table I.
Classification of pure red cell aplasia*.
Inherited |
Diamond Blackfan anaemia |
Acquired PRCA |
Primary |
Autoimmune [includes Transient Erythroblastopenia ofChildhood (TEC)] |
Pearson syndrome (sideroblastic anaemia with vacuolatederythroid precursors) |
Preleukemic |
Idiopathic |
Secondary, associated with: |
Thymoma |
Hematological malignancies |
Chronic lymphocytic leukemia |
Large granular lymphocyte leukemia |
Chronic myelocytic leukemia |
Acute lymphoblastic leukemia |
Hodgkin lymphoma |
Non-Hodgkin lymphomas |
Multiple myeloma |
Waldenström macroglobulinemia |
Myelofibrosis with myeloid metaplasia |
Essential thrombocythemia |
Solid Tumours |
Carcinoma of the stomach |
Adenocarcinoma of the breast |
Adenocarcinoma of bile duct |
Squamous cell carcinoma of the lung |
Epidermoid carcinoma of the skin |
Carcinoma of the thyroid |
Renal cell carcinoma |
Carcinoma of unknown primary site |
Kaposi sarcoma |
Infections |
Human B19 parvovirus |
Human immunodeficiency virus (HIV) |
T-cell leukemia-lymphoma virus |
Epstein-Barr virus (infectious mononucleosis) |
Viral hepatitis |
Mumps |
Cytomegalovirus |
Atypical pneumonia |
Meningococcemia |
Staphylococcemia |
Leishmaniasis |
Chronic haemolytic anaemias |
Collagen vascular and autoimmune diseases |
Systemic lupus erythematosus |
Rheumatoid arthritis |
Mixed connective tissue disease |
Sjögren syndrome |
Autoimmune multiple endocrine gland insufficiency |
Autoimmune hypothyroidism |
Autoimmune chronic hepatitis |
Drugs and chemicals |
Pregnancy |
Severe renal failure |
Severe nutritional deficiencies (rehabilitation of kwashiorkor) |
Miscellaneous |
Post-ABO incompatible bone marrow transplantation |
Angioimmunoblastic lymphadenopathy |
Anti-erythropoietin antibodies (spontaneous or post-treatmentwith erythropoietin) |
*Modified with permission from Dessypris and Lipton, 2003.