Aplastic Anaemia — RACP Paediatrics MCQ

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HardHaematology & OncologyAplastic AnaemiaRACP Paediatrics

A 3-year-old: pallor, petechiae. Hb 65, WCC 2.5, plt 22. No blasts on film. Low reticulocytes. Hypocellular marrow. Diagnosis?

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Correct answer: D — Aplastic anaemia

Pancytopenia with hypocellular marrow and no blasts = aplastic anaemia. Exclude Fanconi with chromosomal breakage studies.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Aplastic Anaemia