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== Aetiology == {| class="wikitable" |'''Acquired''' |- | ** Bone marrow infiltration/replacement *** Malignant **** Acute leukemias **** Chronic leukemias/myeloproliferative neoplasms (MPN) **** Myelodysplastic syndromes (MDS) **** Multiple myeloma **** Metastatic cancer *** Non-malignant **** Myelofibrosis **** Infectious (eg, fungal, tuberculous) **** Storage diseases *** Bone marrow failure **** Immune destruction/suppression ***** Aplastic anemia/paroxysmal nocturnal hemoglobinuria ***** Medications¶ ****** Cytotoxic drugs ****** Idiosyncratic reactions to medications ***** Large granular lymphocyte leukemia ***** Autoimmune disorders (eg, systemic lupus erythematosus [SLE], rheumatoid arthritis [RA], sarcoidosis) ***** Hemophagocytic lymphohistiocytosis (HLH) **** Nutritional ***** Megaloblastic (vitamin B12, folate) ***** Excessive alcohol ***** Other (eg, copper deficiency, zinc toxicity) ***** Malnutrition/anorexia nervosa with gelatinous degeneration **** Marrow suppression ***** Viral infection (eg, HIV, hepatitis, Epstein-Barr virus [EBV]) **** Ineffective hematopoiesis (eg, MDS, nutritional) ** Destruction/sequestration/redistribution *** Consumption **** Disseminated intravascular coagulation (eg, associated with sepsis, acute promyelocytic leukemia) *** Splenomegaly **** Portal hypertension/cirrhosis **** Infections (eg, EBV) **** Autoimmune disorders (eg, SLE, RA/Felty syndrome) **** Malignancies (eg, lymphomas, MPN) **** Myelofibrosis with myeloid metaplasia **** Storage diseases (eg, Gaucher) |- |'''Congenital''' |- | ** Wiskott Aldrich syndrome ** Fanconi anemia ** Dyskeratosis congenital/telomere biology disorders ** Shwachman-Diamond syndrome ** GATA2 deficiency ** Hemophagocytic lymphohistiocytosis (HLH) |}
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