Pancytopenia


Hypersplenism

Differential Diagnosis of Splenomegaly and Hypersplenism

Infections
• Acute
Viral (viral hepatitis, infectious mononucleosis, CMV infection)
Bacterial (septicemia, salmonellosis, brucellosis, splenic abscess)
Parasite (toxoplasmosis)
• Subacute and Chronic
Subacute bacterial endocarditis
Tuberculosis Malaria Kala-azar Fungal disease

Inflammation
Felty syndrome SLE Serum sickness Rheumatic fever Sarcoidosis ALPS

Congestive Splenomegaly
• Intrahepatic
Cirrhosis
• Extrahepatic
Portal vein obstruction
Splenic vein obstruction
Hepatic vein occlusion (Budd-Chiari syndrome)

• Chronic Passive Congestion
Heart failure

Hematologic Disorders
RBC disorders: hemolytic anemias, thalassemia, sickle cell disorders

Neoplasia
• Malignant
MPDs Myeloid metaplasia Polycythemia rubra vera Essential thrombocythemia Chronic leukemia Chronic myeloid leukemia Chronic lymphocytic leukemia Hairy cell leukemia Lymphoma Acute leukemia Malignant histiocytosis
• Benign
Hamartoma Hemangioma Lymphangioma Fibroma

Storage Diseases
Gaucher disease Niemann-Pick disease

Miscellaneous
Amyloidosis
Cysts

Note: ALPS, Autoimmune lymphoproliferative syndrome; CMV, cytomegalovirus; MPD, myeloproliferative disorder;

 

 


==============