{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T08:16:04Z","timestamp":1788509764995,"version":"build-2803163510"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"9-10","license":[{"start":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:00:00Z","timestamp":1764201600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Wartime conditions present major challenges to the timely diagnosis and management of severe aplastic anemia (SAA). We describe 3 previously healthy military service members who developed idiopathic SAA during active duty. In all 3 patients, no chronic illnesses were documented in the medical records, and no specific toxin exposures or prior hepatitis were recorded. All experienced a gradual onset of cytopenias accompanied by hemorrhagic symptoms, initial misclassification as immune thrombocytopenia or myelodysplastic syndrome, and war-related delays to definitive therapy. Each required prolonged transfusion support and broad-spectrum antibiotics for neutropenic complications. Two patients received immunosuppressive therapy (antithymocyte globulin plus cyclosporine A) four to 5 months after diagnosis, while the youngest underwent urgent allogeneic bone marrow transplantation. Despite severe logistical constraints, all survived the acute phase but remained transfusion-dependent at discharge. These cases underscore the need to strengthen medical logistics and ensure early access to specialized hematologic care to improve SAA outcomes during wartime.<\/jats:p>","DOI":"10.1093\/milmed\/usaf586","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T13:08:41Z","timestamp":1763039321000},"page":"e2175-e2179","source":"Crossref","is-referenced-by-count":0,"title":["Wartime Occurrence of Severe Aplastic Anemia in Previously Healthy Military Service Members: A Case Series"],"prefix":"10.1093","volume":"191","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8105-593X","authenticated-orcid":false,"given":"Pavlo O","family":"Dubovetskyi","sequence":"first","affiliation":[{"name":"Hematologist, Clinic of Hematology, National Military Medical Clinical Center \u201cMain Military Clinical Hospital\u201d , Kyiv, 01133,","place":["Ukraine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7002-6631","authenticated-orcid":false,"given":"Svitlana A","family":"Husieva","sequence":"additional","affiliation":[{"name":"Department of Military Therapy, Ukrainian Military Medical Academy , Kyiv, 04053,","place":["Ukraine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9564-9825","authenticated-orcid":false,"given":"Ian P","family":"Goncharov","sequence":"additional","affiliation":[{"name":"Hematologist, Clinic of Hematology, National Military Medical Clinical Center \u201cMain Military Clinical Hospital\u201d , Kyiv, 01133,","place":["Ukraine"]},{"name":"Department of Military Therapy, Ukrainian Military Medical Academy , Kyiv, 04053,","place":["Ukraine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6304-3314","authenticated-orcid":false,"given":"Vitalii M","family":"Orlov","sequence":"additional","affiliation":[{"name":"Hematologist, Clinic of Hematology, National Military Medical Clinical Center \u201cMain Military Clinical Hospital\u201d , Kyiv, 01133,","place":["Ukraine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,11,27]]},"reference":[{"key":"2026090403525463800_usaf586-B1","doi-asserted-by":"publisher","first-page":"469","DOI":"10.2147\/CLEP.S304132","article-title":"Pesticides and chemicals as potential risk factors of aplastic anemia: a case-control study among a Pakistani population","volume":"13","author":"Syed","year":"2021","journal-title":"Clin Epidemiol"},{"key":"2026090403525463800_usaf586-B2","doi-asserted-by":"publisher","first-page":"1378432","DOI":"10.3389\/fimmu.2024.1378432","article-title":"The state of the art in the treatment of severe aplastic anemia: immunotherapy and hematopoietic cell transplantation in children and 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