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Aplastic anemia is associated with A. Marked increase in bone marrow cellularity B. Marked decrease in bone marrow cellularity C. Normal bone marrow cellularity D. Hypersplenism (enlarged spleen)
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Aplastic anemia is a disorder of the bone marrow wherein there is pancytopenia; that is a reduction in erythrocytes, white blood cells, and platelets. This will result in arrhythmias (irregular heartbeats), enlarged heart, infections, bleeding, and sometimes death.

Cellularity of bone marrow is volume ratio of hematopoiesis and fat. In newborns, it is 100% but in adult, it varies from 30-70%. The bone marrow cellularity is severe cases of aplastic anemia is less than 25% or 25-50% with <30% residual hemopoietic cells, while in moderate cases it is less than 30%. There is no enlargement of spleen (hypersplenism) in aplastic anemia.

Right answer is B (marked decrease in cellularity of bone marrow).

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