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Incidence of aplastic anemia in Bangkok. The Aplastic Anemia Study Group
S Issaragrisil, C Sriratanasatavorn, A Piankijagum, S Vannasaeng, Y Porapakkham, PE Leaverton, DW Kaufman, TE Anderson, S Shapiro and NS Young
Department of Medicine, Faculty of Medicine, Siriraj Hospital, Bangkok,
Thailand.
The annual incidence of aplastic anemia in metropolitan Bangkok, Thailand,
and its five suburban provinces was prospectively determined. All patients
first diagnosed during the period from January through December 1989 who
met specific clinical and pathologic criteria were included. Thirty-two
cases were identified, yielding an overall incidence of 3.7 per million.
The incidence rates for the age groups 0 through 24, 25 through 59, and
over 60 years were 4.3, 3.2, and 2.1 per million, respectively; the highest
rate, 7.2 per million, was found for individuals aged 15 to 24 years. The
male-to-female ratio was 1.9. The incidence of aplastic anemia in Bangkok
is higher than that reported in recent European studies. The peak rate in
young persons is almost fourfold higher than in comparable recent western
studies and suggests an environmental etiology peculiar to Thailand.
Volume 77,
Issue 10,
pp. 2166-2168,
05/15/1991
Copyright © 1991 by The American Society of Hematology

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