Prof. Dr. Barış MALBORA
Prof. Dr. Barış MALBORA

Bone Marrow Failure

Bone marrow failure is a condition where the body cannot produce a sufficient amount of blood cells. This serious hematological condition can occur in children and adults for various reasons. Early diagnosis and a multidisciplinary treatment approach can positively affect the course of the disease.

Bone Marrow Failure

Bone marrow failure is a condition where the body cannot produce a sufficient amount of blood cells. This serious hematological condition can occur in children and adults for various reasons. Early diagnosis and a multidisciplinary treatment approach can positively affect the course of the disease.

📌 What is Bone Marrow Failure?

The bone marrow is where blood cells such as red blood cells (erythrocytes), white blood cells (leukocytes), and platelets are produced. When this structure loses its function, the levels of cells in the blood decrease, and the functions of the immune system, oxygen transport, and clotting are impaired.

📍 Main Types:

Aplastic Anemia: The bone marrow becomes completely non-functional.

Myelodysplastic Syndrome (MDS): The bone marrow produces cells, but they are not healthy.

Fanconi Anemia: A genetically inherited type of bone marrow failure.

Congenital and acquired causes: It can be congenital or develop later in life.

🔍 Symptoms:

Constant weakness and fatigue

Paleness

Susceptibility to infections

Frequent nosebleeds, gum bleeding

Bruising on the skin, petechiae

Fever and signs of infection

🧪 Diagnostic Methods:

Complete blood count (CBC)

Bone marrow aspiration and biopsy

Genetic tests

Immunological and cytogenetic examinations

💉 Treatment Options:

Immunosuppressive therapy (ATG, CsA, etc.)

Blood transfusions

Growth factors (G-CSF, EPO)

Bone marrow (stem cell) transplant: Can be a permanent solution, especially in pediatric patients.

Supportive treatments: Infection control, nutritional support, etc.

⚠️ Why is Early Diagnosis Important?

Bone marrow failure can be a rapidly progressing and life-threatening disease. Therefore, when symptoms are noticed, it is essential to consult a hematology specialist without delay.