Criteria

Diagnosis criteria[35]

Bone marrow hypocellular, with no abnormal cells and no fibrosis.

At least two among the following:

  • Hemoglobin <10 g/dL

  • Platelet count <50 × 10⁹/L

  • Absolute neutrophil count <1.5 × 10⁹/L.

Severity criteria[36][37]

Severe AA

  • Bone marrow cellularity <25% or cellularity <50% with <30% residual hematopoietic cells

  • At least 2 among the following:

    • Absolute reticulocyte count <20 × 10⁹/L (<60 × 10⁹/L using an automated analysis)

    • Platelet count <20 × 10⁹/L

    • Absolute neutrophil count <0.5 × 10⁹/L.

Very severe AA

  • Absolute neutrophil count <0.2 × 10⁹/L

  • AND fulfills the rest of the criteria for severe AA.

Non-severe AA

  • Patients not fulfilling the criteria for severe or very severe AA.

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