Etiology:


 • Autoimmune marrow destruction, drugs (chloramphenicol), radiation
 • Viral infections (parvovirus B19, hepatitis)

Pathogenesis:


 • Bone marrow hypocellularity → pancytopenia

Clinical Features:


 • Fatigue, pallor
 • Infections (neutropenia)
 • Petechiae, bleeding (thrombocytopenia)
 • No splenomegaly

Treatment:


 • Immunosuppressive therapy (ATG, cyclosporine)
 • Bone marrow transplant