Table Of ContentTextbook of 
Pediatric Hematology and 
Hemato-Oncology
Textbook of 
Pediatric Hematology and 
Hemato-Oncology
Editor-in-Chief
MR Lokeshwar
Consultant Pediatrician and Pediatric Hematologist Oncologist
Shushrusha Citizens Co-operative Hospital and 
Lilavati Hospital and Research Centre, Mumbai, India
Editors
Nitin K Shah Bharat R Agarwal
President, Indian Academy of Pediatrics, 2006 Head
Consultant Pediatrician, PD Hinduja Hospital, Mumbai, India Department of Pediatric Hematology and Oncology
Hon. Pediatric Hematologist Oncologist  BJ Wadia Hospital for Children Institute of Child Health 
BJ Wadia Hospital and Lions Hospital, Mumbai, India and Research Centre, Mumbai, India
Co-editors
Mamta Vijay Manglani Anupam Sachdeva 
Professor and Head Director, Pediatric Hematology-Oncology and 
Department of Pediatrics Bone Marrow Transplantation, Institute for Child Health 
Chief, Division of Hematology-Oncology Sir Ganga Ram Hospital, New Delhi, India
Program Director, Pediatric Center of Excellence for HIV Care Recipient, Dr BC Roy Award
Lokmanya Tilak Municipal Medical College and   Recipient, Silver Jubilee Research Award
General Hospital, Mumbai, India
Publication Editor
Asha Pillai
Medical Officer
Kashyap Nursing Home
Mumbai, India
Forewords
SS Kamath
Vijay N Yewale
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Textbook of Pediatric Hematology and Hemato-Oncology
First Edition: 2016
ISBN: 978-93-5152-143-3
Printed at
Dedicated to
Zinet Currimbhoy
Teacher of Teachers
in Pediatric Hematology and Oncology
for whom
Children with blood disorders and cancer were the greatest teachers!
Contributors
Aditya Kumar Gupta  Anand Deshpande 
MD FNB (Pediatric Hematology Oncology, SGRH)  Consultant 
Assistant Professor  Hematopathologist and In-Charge 
Division of Pediatric Hematology- Transfusion Medicine 
Oncology  PD Hinduja National Hospital 
Department of Pediatrics  Mumbai, India 
Institute of Medical Sciences  [email protected]
Banaras Hindu University 
Varanasi, India 
Anupa A Joshipura 
[email protected]
Fellow Pediatric Hemato-Oncology 
BJ Wadia Hospital for Children 
Ajay Kumar 
Institute of Child Health and Research Centre 
Senior Specialist 
Mumbai, India 
Department of Neonatology 
[email protected]
Lady Hardinge Medical College  
and Kalawati Saran Children’s Hospital 
New Delhi, India  Anupama S Borker 
[email protected] Consultant Pediatric Oncologist 
Somaiya Ayurvihar 
Aman Chauhan  Asian Institute of Oncology 
Internal Medicine and Pediatrics  KJ Somaiya Hospital Campus 
Combined Resident  Mumbai, India 
Louisiana State University Health Science  [email protected]
Center 
New Orleans, USA  
Anupam Sachdeva 
[email protected]
Director  
Pediatric Hematology-Oncology and 
Ambreen Pandrowala 
Bone Marrow Transplantation 
Clinical Associate 
Institute for Child Health 
Lilavati Hospital 
Sir Ganga Ram Hospital, New Delhi, India 
Mumbai, India 
Recipient, Dr BC Roy Award 
[email protected]
Recipient, Silver Jubilee Research Award 
[email protected]
Amol Dongre  Aparna Vijayaraghavan 
Assistant Professor   Registrar 
Department of Medical Oncology  Department of Pediatrics 
Jawaharlal Nehru Medical College  Chennai, India 
Wardha, India  [email protected]
[email protected]
viii  Textbook of Pediatric Hematology and Hemato-Oncology
AP Dubey  Brijesh Arora 
Director  Professor 
Professor and Head  Division of Pediatric Oncology 
Department of Pediatrics  Tata Memorial Hospital 
Maulana Azad Medical College and  Mumbai, India 
Associated Lok Nayak Hospital  [email protected]
New Delhi, India 
[email protected] Deepak K Changlani 
Pediatric Interventional Cardiologist 
Lilavati Hospital and Research Centre 
Arvind Saili 
Mumbai, India 
Director  
[email protected]
Professor and Head  
Department of Neonatology 
Lady Hardinge Medical College and 
Kalawati Saran Children’s Hospital  Dilraj Kaur Kahlon 
New Delhi, India  Consultant Pediatric Hemato-Oncologist 
[email protected] Amandeep Hospital 
Amritsar, India 
[email protected]
ATK Rau 
Pediatric Hematologist-Oncologist 
Professor, Department of Pediatrics 
Dinesh Yadav  MD 
MS Ramaiah Medical College 
Consultant Pediatrician 
Bengaluru, India 
Vivekanand Hospital, Bhadra, India 
[email protected]
Formerly Assistant Professor 
Department of Pediatrics 
Sri Aurobindo Institute of Medical 
Bharat R Agarwal 
Sciences, Indore, India 
Head 
[email protected]
Department of Pediatric Hematology and 
Oncology 
Farah Jijina 
BJ Wadia Hospital for Children 
Consultant Hematologist 
Institute of Child Health and Research 
PD Hinduja Hospital, Mahim, India 
Centre, Mumbai, India 
Professor 
[email protected]
Department of Hematology 
Seth GS Medical College and  
Bhavna Dhingra  KEM Hospital, Mumbai, India 
Assistant Professor  [email protected]
Department of Pediatrics 
All India Institute of Medical Sciences  Gaurav Narula 
Bhopal, India  Associate Professor (Pediatric-Oncology) 
[email protected] Department of Medical Oncology 
Tata Memorial Hospital 
Mumbai, India 
Bipin P Kulkarni   [email protected]
Scientist ‘B’  
National Institute of 
Girish Chinnaswamy 
Immunohaematology (Indian Council of 
Associate Professor (Pediatric-Oncology) 
Medical Research, ICMR) 
Department of Medical Oncology 
KEM Hospital Campus 
Tata Memorial Hospital 
Mumbai, India 
Mumbai, India 
[email protected] 
[email protected]
www.niih.org.in
Contributors  ix
Jagdish Chandra  Malobika Bhattacharya 
Director-Professor of Pediatrics  Consultant Pediatrics 
In-Charge, Pediatric Hematology and  Kailash Hospital 
Thalassemia Day Care Centre  Greater Noida, India 
Programme Director, Pediatric Centre of  [email protected]
Excellence (HIV) 
Lady Hardinge Medical College and 
Kalawati Saran Children’s Hospital 
Mamta Vijay Manglani 
New Delhi, India 
Professor and Head 
[email protected]
Department of Pediatrics 
Chief, Division of Hematology-Oncology 
Jayashree Mondkar 
Program Director, Pediatric Center of 
Professor and Head 
Excellence for HIV Care, Lokmanya Tilak 
Department of Neonatology 
Municipal Medical College and General 
Director 
Hospital, Mumbai, India 
Human Milk Bank  
[email protected]
Lokmanya Tilak Municipal Medical 
College and General Hospital 
Mumbai, India  Manas Kalra 
[email protected] Fellowship 
Pediatric Oncology and BMT-Sydney 
Kana Ram Jat  Consultant, Pediatric Hematologist 
Assistant Professor  Oncologist and BMT Unit 
Department of Pediatrics  Sir Ganga Ram Hospital 
All India Institute of Medical Sciences  New Delhi, India 
New Delhi, India  [email protected]
[email protected]
Maya Prasad 
K Ghosh  Assistant Professor 
Director  Department of Medical Oncology 
National Institute of  (Pediatrics) 
Immunohaematology (ICMR)  Tata Memorial Hospital, Mumbai, India 
KEM Hospital Campus  [email protected]
Mumbai, India 
[email protected]
MMA Faridi 
Professor and Head 
KN Aggarwal  MD FIAP FAMS FNA 
Department of Pediatrics 
Former Professor and Director 
In-Charge 
Institute of Medical Sciences 
Division of Neonatology 
Banaras Hindu University 
University College of Medical Sciences 
Varanasi, India 
Guru Teg Bahadur Hospital 
Former Director 
New Delhi, India 
SGPGIMS, Lucknow, India 
[email protected]
Professor 
Department of Pediatrics 
UCMS, Bhairwah, Nepal MR Lokeshwar 
Consultant Pediatrician and Pediatric 
Madhulika Kabra  Hematologist Oncologist 
Professor, Division of Genetics  Shushrusha Citizens  
All India Institute of Medical Sciences  Co-operative Hospital and Lilavati 
New Delhi, India  Hospital and Research Centre 
[email protected]  Mumbai, India 
[email protected] [email protected]