HEMATOLOGICAL ABNORMALITIES IN CIRRHOSIS OF LIVER

Dr Gaurav Bhutada, Dr Kaushika Rautray, Dr Sourya Acharya, Dr Samarth Shukla

Abstract


AIM: To study the distribution and pattern of anemia and other hematological abnormalities in cases of cirrhosis of liver.METHODS: This cross sectional study was conducted in AcharayaVinobhaBhave Rural Health, Wardha. A total of 30 cirrhotic patients were studied in 6 months. Thirty patients with cirrhosis of liver were included in this study. Meticulous clinical examination was done. Relevant hematological investigations were carried out and patients were treated according.RESULTS:The study includes 30 cases of cirrhotic patients.In this study 73.3% constituted male patients 26.67% constituted female patients.As per sex wise distribution, cirrhotic cases was highest in males i.e. 22 cases (73.3%), as compare to females,8 cases (26.6%). The most common age group was 31-40years. The most common clinical manifestation presented was ascites i.e 29 cases out of 30(96.67%) and melena being the least common i.e only 2 cases out of 30 cases (6.67%).83.33%  of the patients were found to be have anemia (Hb less than 11gm%), out of which 40% ad Hb less than 7gm%.Out of a total of 30 patients , 8 (26.66%)had normal MCV, 11 (36.66%)  had macrocytosis and 11(36.66%) had microcytosis. 10 (33.33%) had leucopenia, which can be due to hypersplenism.% had thrombocytopenia CONCLUSION: anemia is the most common hematological abnormality in cirrhosis. The etiology is multifactorial. So it is imperative to correct the etiological factor for anemia and other hematological abnormalities


Keywords


cirrhosis, anemia , hematological abnormalities, thrombocytopenia, leucopenia and hypersplenism.

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References


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