DeZern and Guinan listed the differential diagnosis for pancytopenia in young adults.
Infection:
(1) Epstein-Barr virus (EBV)
(2) cytomegalovirus (CMV)
(3) human herpesvirus 6 (HHV6)
(4) hepatitis B
(5) hepatitis C
(6) HIV
(7) parvovirus
Toxic:
(1) recreational drugs
(2) prescription drugs
(3) toxin exposure
Bone marrow failure:
(1) dyskeratosis congenita (DKC)
(2) Fanconi's anemia (FA)
(3) Shwachman-Diamond syndrome
(4) Diamond-Blackfan anemia
(5) anorexia nervosa
Pregnancy
Clonal disorders:
(1) leukemia
(2) paroxysmal nocturnal hemoglobinuria (PNH)
(3) histiocytic disorders
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Specialty: Hematology Oncology
