Onyalai (Pronunciation: ō′nē-al′ā-ē) is a form of thrombocytopenia that affects some of the population in areas of central Africa. Onyalai exhibits similarities to idiopathic thrombocytopenic purpura (ITP) but differs in pathogenesis. The affected age range is from less than a year to 70 years and seems to not be gender-specific in the same manner as ITP. Cases generally peak between 11 and 20 years old. Although the cause of onyalai is not known at this time, inadequate nutrition and/or the consumption of tainted food are suspected.
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