Aplastic anemia pathophysiology: Difference between revisions

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==Pathophysiology==
==Pathophysiology==


=== Physiology ===
The normal physiology of bone marrow can be understood as follows:<ref name="pmid2406826">{{cite journal |vauthors=Hays K |title=Physiology of normal bone marrow |journal=Semin Oncol Nurs |volume=6 |issue=1 |pages=3–8 |date=February 1990 |pmid=2406826 |doi= |url=}}</ref>
* '''Bone marrow''' is a spongy tissue, found within the spongy or cancellous portions of bones
* It is higly vascularized and richly innervated
* Bone marrow is the primary site of hematopoiesis
* It is composed of hematopoietic cells, marrow adipose tissue, and  stromal cells.
* The hematopoiesis is controlled by a various regulatory mechanisms, including growth factors.
* The normal bone marrow structure can be damaged or displaced by aplastic anemia, malignancies or infections.
* This  leads to decrease production of blood cells and blood platelets.
.


=== Pathogenesis ===
* The exact pathogenesis of [disease name] is not completely understood.
OR
* It is understood that [disease name] is the result of / is mediated by / is produced by / is caused by either [hypothesis 1], [hypothesis 2], or [hypothesis 3].
* [Pathogen name] is usually transmitted via the [transmission route] route to the human host.
* Following transmission/ingestion, the [pathogen] uses the [entry site] to invade the [cell name] cell.
* [Disease or malignancy name] arises from [cell name]s, which are [cell type] cells that are normally involved in [function of cells].
* The progression to [disease name] usually involves the [molecular pathway].
* The pathophysiology of [disease/malignancy] depends on the histological subtype.


== Genetics ==
[Disease name] is transmitted in [mode of genetic transmission] pattern.


{| align="right"
OR
|[[File:Aplasticanemia.jpg |400px|thumb|right|Image yellow fat ladden marrow https://www.wikidoc.org/index.php/File:Aplasticanemia.jpg source:By Wmheric [CC BY-SA 3.0  (https://creativecommons.org/licenses/by-sa/3.0)] [Public domain], from Wikimedia Commons]]]
|}


Genes involved in the pathogenesis of [disease name] include:
* [Gene1]
* [Gene2]
* [Gene3]
OR


The development of [disease name] is the result of multiple genetic mutations such as:
* [Mutation 1]
* [Mutation 2]
* [Mutation 3]


== Associated Conditions ==


== Gross Pathology ==
On gross pathology, [feature1], [feature2], and [feature3] are characteristic findings of [disease name].


== Microscopic Pathology ==
On microscopic histopathological analysis, [feature1], [feature2], and [feature3] are characteristic findings of [disease name]
{| align="right"
|[[File:Aplasticanemia.jpg |400px|thumb|right|Image yellow fat ladden marrow https://www.wikidoc.org/index.php/File:Aplasticanemia.jpg source:By Wmheric [CC BY-SA 3.0  (https://creativecommons.org/licenses/by-sa/3.0)] [Public domain], from Wikimedia Commons]]]
|}


==References==
==References==

Revision as of 15:02, 15 August 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.D. [2] Nazia Fuad M.D.

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Overview

Pathophysiology

Physiology

The normal physiology of bone marrow can be understood as follows:[1]

  • Bone marrow is a spongy tissue, found within the spongy or cancellous portions of bones
  • It is higly vascularized and richly innervated
  • Bone marrow is the primary site of hematopoiesis
  • It is composed of hematopoietic cells, marrow adipose tissue, and stromal cells.
  • The hematopoiesis is controlled by a various regulatory mechanisms, including growth factors.
  • The normal bone marrow structure can be damaged or displaced by aplastic anemia, malignancies or infections.
  • This leads to decrease production of blood cells and blood platelets.

.

Pathogenesis

  • The exact pathogenesis of [disease name] is not completely understood.

OR

  • It is understood that [disease name] is the result of / is mediated by / is produced by / is caused by either [hypothesis 1], [hypothesis 2], or [hypothesis 3].
  • [Pathogen name] is usually transmitted via the [transmission route] route to the human host.
  • Following transmission/ingestion, the [pathogen] uses the [entry site] to invade the [cell name] cell.
  • [Disease or malignancy name] arises from [cell name]s, which are [cell type] cells that are normally involved in [function of cells].
  • The progression to [disease name] usually involves the [molecular pathway].
  • The pathophysiology of [disease/malignancy] depends on the histological subtype.

Genetics

[Disease name] is transmitted in [mode of genetic transmission] pattern.

OR

Genes involved in the pathogenesis of [disease name] include:

  • [Gene1]
  • [Gene2]
  • [Gene3]

OR

The development of [disease name] is the result of multiple genetic mutations such as:

  • [Mutation 1]
  • [Mutation 2]
  • [Mutation 3]

Associated Conditions

Gross Pathology

On gross pathology, [feature1], [feature2], and [feature3] are characteristic findings of [disease name].

Microscopic Pathology

On microscopic histopathological analysis, [feature1], [feature2], and [feature3] are characteristic findings of [disease name]

Image yellow fat ladden marrow https://www.wikidoc.org/index.php/File:Aplasticanemia.jpg source:By Wmheric [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)] [Public domain], from Wikimedia Commons]

References

  1. Hays K (February 1990). "Physiology of normal bone marrow". Semin Oncol Nurs. 6 (1): 3–8. PMID 2406826.