Open AccessAplastic anemia in a patient with chronic liver disease
Author(s) -
Deepak Rajkumar Vangipuram,
Sudagar Singh,
Sivaprakash Varadan,
J Damodharan
Publication year - 2017
Publication title -
journal of the scientific society
Language(s) - English
Resource type - Journals
eISSN - 2278-7127
pISSN - 0974-5009
DOI - 10.4103/jss.jss_31_15
Subject(s) - medicine , pancytopenia , cirrhosis , aplastic anemia , melena , chronic liver disease , portal hypertension , anemia , bone marrow , gastroenterology , surgery
The association of aplastic anemia with chronic liver disease is rare. We report the case of a 47-year-old male patient who presented with bleeding gums and melena. He was found to have pancytopenia and on evaluation, had an aplastic bone marrow. He also had cirrhosis with portal hypertension (cryptogenic cirrhosis) for which no cause could be ascertained. This case illustrates that in a patient with cirrhosis and pancytopenia, we must look for causes other than hypersplenism