Evaluation of Reticulin Fibrosis in Benign Hematologic Disorders in Lahore, Pakistan: A Cross-Sectional Study

Objective: To assess reticulin fibrosis in benign hematologic disorders and to understand the impact of benign hematologic disorders on the immune system. Study Design: Cross-sectional study. Place and Duration of Study: The study was conducted at the Department of Hematology, Sheikh Zayed Hospital,...

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Main Authors: Yasir Shabbir, Nazia Farooq, Fahum Akhter, Aetsam Ahmad Virk, Muhammad Fayyaz, Muhammad Eyyaz
Format: Article
Language:English
Published: National University of Medical Sciences 2025-04-01
Series:Life and Science
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Online Access:https://lifenscience.org/index.php/life-and-science/article/view/578
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author Yasir Shabbir
Nazia Farooq
Fahum Akhter
Aetsam Ahmad Virk
Muhammad Fayyaz
Muhammad Eyyaz
author_facet Yasir Shabbir
Nazia Farooq
Fahum Akhter
Aetsam Ahmad Virk
Muhammad Fayyaz
Muhammad Eyyaz
author_sort Yasir Shabbir
collection DOAJ
description Objective: To assess reticulin fibrosis in benign hematologic disorders and to understand the impact of benign hematologic disorders on the immune system. Study Design: Cross-sectional study. Place and Duration of Study: The study was conducted at the Department of Hematology, Sheikh Zayed Hospital, Lahore, Pakistan from January 2023 to June 2023. Methods: Patients who had benign hematologic disorders, such as iron deficiency anemia, Megaloblastic Anemia, Aplastic Anemia, and Immune Thrombocytopenic Purpura, were included in the research. Patients with Malignant hematologic disorders and Individuals undergoing chemotherapy for any malignant disease were excluded. There were 96 cases total in the sample, 24 for each illness. Following processing in the histology department, the data for reticulin fibers were analyzed using bone marrow samples from the anterior iliac spine. An institutional ethics panel approved the research, and informed consent was acquired. Results: The study found that the gender distribution of cases was significantly different among the four groups. The average age of cases was not different among the four groups. Still, the Immune Thrombocytopenic Purpura group had the lowest average age of 40.5 years, and the Aplastic anemia group had the highest average age of 46.7 years. Among the hematological parameters, the hemoglobin level was the highest among the Immune Thrombocytopenic Purpura group, with an average of 10.8±1.9 g/dl. The median total leukocyte count for Iron Deficiency Anemia was 6.3, while the median total leukocyte count for megaloblastic anemia was 3.2, Aplastic Anemia was 1.8, and Immune Thrombocytopenic Purpura was 8.0. The median RDW count for Iron Deficiency Anemia was 42.0, Megaloblastic Anemia was 50.0, Aplastic Anemia was 48.5, and ITP was 48.0. Conclusion: The study concluded that female gender, higher Hemoglobin level, higher MCH, Red blood cell count, and lower platelet count may also help support the diagnosis of Immune Thrombocytopenic Purpura. Identifying these parameters as diagnostic markers requires further research to confirm their status. How to cite this: Shabbir Y, Farooq N, Akhter F, Virk AA, Fayyaz M, Eyyaz M. Evaluation of Reticulin Fibrosis in Benign Hematologic Disorders in Lahore, Pakistan: A Cross-Sectional Study. Life and Science. 2025; 6(2): 156-162. doi: http://doi.org/10.37185/LnS.1.1.578
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spelling doaj-art-199ea680e3f944faac6bd71de154f7f62025-08-20T02:09:32ZengNational University of Medical SciencesLife and Science2521-04752708-29702025-04-0162070710.37185/LnS.1.1.578578Evaluation of Reticulin Fibrosis in Benign Hematologic Disorders in Lahore, Pakistan: A Cross-Sectional StudyYasir Shabbir0Nazia Farooq1Fahum Akhter2Aetsam Ahmad Virk3Muhammad Fayyaz4Muhammad Eyyaz5Gujranwala Medical College, Gujranwala, PakistanLahore Medical and Dental College, Lahore, PakistanLahore Medical and Dental College, Lahore, PakistanLahore Medical and Dental College, Lahore, PakistanUniversity of Gujrat, Gujrat, PakistanGujranwala Medical College, Gujranwala, PakistanObjective: To assess reticulin fibrosis in benign hematologic disorders and to understand the impact of benign hematologic disorders on the immune system. Study Design: Cross-sectional study. Place and Duration of Study: The study was conducted at the Department of Hematology, Sheikh Zayed Hospital, Lahore, Pakistan from January 2023 to June 2023. Methods: Patients who had benign hematologic disorders, such as iron deficiency anemia, Megaloblastic Anemia, Aplastic Anemia, and Immune Thrombocytopenic Purpura, were included in the research. Patients with Malignant hematologic disorders and Individuals undergoing chemotherapy for any malignant disease were excluded. There were 96 cases total in the sample, 24 for each illness. Following processing in the histology department, the data for reticulin fibers were analyzed using bone marrow samples from the anterior iliac spine. An institutional ethics panel approved the research, and informed consent was acquired. Results: The study found that the gender distribution of cases was significantly different among the four groups. The average age of cases was not different among the four groups. Still, the Immune Thrombocytopenic Purpura group had the lowest average age of 40.5 years, and the Aplastic anemia group had the highest average age of 46.7 years. Among the hematological parameters, the hemoglobin level was the highest among the Immune Thrombocytopenic Purpura group, with an average of 10.8±1.9 g/dl. The median total leukocyte count for Iron Deficiency Anemia was 6.3, while the median total leukocyte count for megaloblastic anemia was 3.2, Aplastic Anemia was 1.8, and Immune Thrombocytopenic Purpura was 8.0. The median RDW count for Iron Deficiency Anemia was 42.0, Megaloblastic Anemia was 50.0, Aplastic Anemia was 48.5, and ITP was 48.0. Conclusion: The study concluded that female gender, higher Hemoglobin level, higher MCH, Red blood cell count, and lower platelet count may also help support the diagnosis of Immune Thrombocytopenic Purpura. Identifying these parameters as diagnostic markers requires further research to confirm their status. How to cite this: Shabbir Y, Farooq N, Akhter F, Virk AA, Fayyaz M, Eyyaz M. Evaluation of Reticulin Fibrosis in Benign Hematologic Disorders in Lahore, Pakistan: A Cross-Sectional Study. Life and Science. 2025; 6(2): 156-162. doi: http://doi.org/10.37185/LnS.1.1.578https://lifenscience.org/index.php/life-and-science/article/view/578aplastic anemiahematologiciron deficiency anemiaimmune thrombocytopenic purpuramegaloblastic anemiareticulin fibrosis
spellingShingle Yasir Shabbir
Nazia Farooq
Fahum Akhter
Aetsam Ahmad Virk
Muhammad Fayyaz
Muhammad Eyyaz
Evaluation of Reticulin Fibrosis in Benign Hematologic Disorders in Lahore, Pakistan: A Cross-Sectional Study
Life and Science
aplastic anemia
hematologic
iron deficiency anemia
immune thrombocytopenic purpura
megaloblastic anemia
reticulin fibrosis
title Evaluation of Reticulin Fibrosis in Benign Hematologic Disorders in Lahore, Pakistan: A Cross-Sectional Study
title_full Evaluation of Reticulin Fibrosis in Benign Hematologic Disorders in Lahore, Pakistan: A Cross-Sectional Study
title_fullStr Evaluation of Reticulin Fibrosis in Benign Hematologic Disorders in Lahore, Pakistan: A Cross-Sectional Study
title_full_unstemmed Evaluation of Reticulin Fibrosis in Benign Hematologic Disorders in Lahore, Pakistan: A Cross-Sectional Study
title_short Evaluation of Reticulin Fibrosis in Benign Hematologic Disorders in Lahore, Pakistan: A Cross-Sectional Study
title_sort evaluation of reticulin fibrosis in benign hematologic disorders in lahore pakistan a cross sectional study
topic aplastic anemia
hematologic
iron deficiency anemia
immune thrombocytopenic purpura
megaloblastic anemia
reticulin fibrosis
url https://lifenscience.org/index.php/life-and-science/article/view/578
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