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Causes of aplastic anemia

 
, medical expert
Last reviewed: 23.04.2024
 
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The cause of development of aplastic anemia is still not fully understood. Exogenous and endogenous etiological factors of aplastic anemia development are distinguished. Exogenous factors are given a priority role in the development of the disease, such as physical effects, chemicals (primarily medicines), infectious agents (viruses, bacteria, fungi). Of the endogenous factors that inhibit hemopoiesis, the most significant are hereditary and genetic disorders, a change in the hormonal status in the pathology of the thyroid gland, ovaries, thymus, systemic connective tissue diseases, stress, trauma. However, in the overwhelming majority of patients (up to 80%), the etiology of the disease remains unknown. Of definite importance in the development of aplastic anemia, perhaps, are also environmental changes (emissions of toxic substances into the atmosphere, insufficient capacities of purification facilities, etc.).

Etiological factors in aplastic anemia

Exogenous factors

Endogenous factors

I. Physical.

  • Ionizing radiation
  • High frequency currents
  • Vibration

II Chemical

1. Myelotoxic substances:

  • Benzyl, benzene and their derivatives
  • Pairs of mercury, nitric acid
  • Sulphur dioxide
  • Paints, varnishes, nitro-enamels
  • Pesticides, coal and zinc dust

2. Medicines:

  • Antibiotics (levomitsetin, penicillin, tetracycline, macrolides)
  • The derivatives of pyrazolone (analgin, amidopyrine, butadione)
  • Sulfonamides
  • Organic preparations of arsenic (novarsenol)
  • Anti-TB drugs (streptomycin, PASK, ftivazid)
  • Anti-malarial drugs (acrychin)
  • Antithyroid drugs
  • Anticonvulsants
  • Anthelmintic preparations
  • Gold Salts
  • Diphenine
  • Antihistamines
  • Antidiabetic drugs
  • Antineoplastic agents

III. Infectious

1. Viruses

  • Hepatitis A, B, C
  • Influenza, parainfluenza
  • Rubella, measles
  • Epidemic mumps
  • Infectious mononucleosis
  • Human Immunodeficiency
  • Cytomegalovirus (in newborns)
  • Herpes virus
  • Chronic parvovirus

2. Bacteria

  • Mycobacterium tuberculosis

3. Mushrooms

I. Hereditary and genetic disorders

II. Dysfunction of glands of internal secretion:

  • thyroid gland
  • ovaries
  • thymus gland

III. Systemic connective tissue diseases:

  • systemic lupus erythematosus
  • rheumatoid arthritis
  • Sjogren's syndrome

IV. Pregnancy

V. Stresses

VI. Injuries

VII. Paroxysmal nocturnal hemoglobinuria

VIII. Disturbances in nutrition:

  • kwashiorkor
  • marasmus

trusted-source[1], [2], [3], [4], [5], [6], [7], [8], [9]

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