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Refractory anemia

MedGen UID:
286
Concept ID:
C0002893
Disease or Syndrome
Synonyms: Anemia, Refractory; Anemias, Refractory; Refractory Anemia; Refractory Anemias
 
HPO: HP:0005505

Definition

A myelodysplastic syndrome characterized mainly by dysplasia of the erythroid series. Refractory anemia is uncommon. It is primarily a disease of older adults. The median survival exceeds 5 years. (WHO, 2001) [from NCI]

Conditions with this feature

Ghosal hematodiaphyseal dysplasia
MedGen UID:
344739
Concept ID:
C1856465
Congenital Abnormality
Ghosal hematodiaphyseal dysplasia (GHDD) is an autosomal recessive disorder characterized by increased bone density with predominant diaphyseal involvement and aregenerative corticosteroid-sensitive anemia (summary by Genevieve et al., 2008).
DDX41-related hematologic malignancy predisposition syndrome
MedGen UID:
895780
Concept ID:
C4225174
Finding
DDX41-associated familial myelodysplastic syndrome and acute myeloid leukemia (MDS/AML) is characterized by an increased risk of myeloid neoplasms, lymphoid neoplasms, adult-onset single- or multiple-lineage cytopenias (including aplastic anemia), and red blood cell macrocytosis. The most common myeloid neoplasms include MDS, AML, and therapy-related myeloid neoplasms. Chronic myelomonocytic leukemia, chronic myeloid leukemia, and myeloproliferative neoplasms are less common. Lymphoid neoplasms include non-Hodgkin lymphoma, Hodgkin lymphoma, multiple myeloma, chronic lymphocytic leukemia, and acute lymphoblastic leukemia.

Professional guidelines

PubMed

Peng M, Guo X, Yi F, Romeiro FG, Mancuso A, Qi X
Adv Ther 2021 Oct;38(10):5065-5077. Epub 2021 Sep 15 doi: 10.1007/s12325-021-01912-6. PMID: 34524644
Seidel MG
Blood 2014 Oct 9;124(15):2337-44. Epub 2014 Aug 27 doi: 10.1182/blood-2014-06-583260. PMID: 25163701Free PMC Article
Gisbert JP, Gomollón F
Am J Gastroenterol 2008 May;103(5):1299-307. doi: 10.1111/j.1572-0241.2008.01846.x. PMID: 18477354

Recent clinical studies

Etiology

Peng M, Guo X, Yi F, Romeiro FG, Mancuso A, Qi X
Adv Ther 2021 Oct;38(10):5065-5077. Epub 2021 Sep 15 doi: 10.1007/s12325-021-01912-6. PMID: 34524644
Smith BN, Savona M, Komrokji RS
Clin Lymphoma Myeloma Leuk 2019 Jan;19(1):1-8. Epub 2018 Nov 23 doi: 10.1016/j.clml.2018.11.019. PMID: 30555034Free PMC Article
Szczepanek-Parulska E, Hernik A, Ruchała M
Pol Arch Intern Med 2017 May 31;127(5):352-360. Epub 2017 Mar 28 doi: 10.20452/pamw.3985. PMID: 28400547
Patnaik MM, Tefferi A
Am J Hematol 2015 Jun;90(6):549-59. doi: 10.1002/ajh.24038. PMID: 25899435
Sultan C, Imbert M, Jouault H, Scoazec JY
Acta Haematol 1987;78 Suppl 1:91-3. doi: 10.1159/000205910. PMID: 3124454

Diagnosis

Smith BN, Savona M, Komrokji RS
Clin Lymphoma Myeloma Leuk 2019 Jan;19(1):1-8. Epub 2018 Nov 23 doi: 10.1016/j.clml.2018.11.019. PMID: 30555034Free PMC Article
Szczepanek-Parulska E, Hernik A, Ruchała M
Pol Arch Intern Med 2017 May 31;127(5):352-360. Epub 2017 Mar 28 doi: 10.20452/pamw.3985. PMID: 28400547
Patnaik MM, Tefferi A
Am J Hematol 2015 Jun;90(6):549-59. doi: 10.1002/ajh.24038. PMID: 25899435
Cazzola M, Malcovati L, Invernizzi R
Hematology Am Soc Hematol Educ Program 2011;2011:264-72. doi: 10.1182/asheducation-2011.1.264. PMID: 22160044
Saraya AK, Dhot PS, Saxena R
Indian J Pediatr 1993 Mar-Apr;60(2):187-92. doi: 10.1007/BF02822174. PMID: 8244493

Therapy

Patnaik MM, Tefferi A
Am J Hematol 2015 Jun;90(6):549-59. doi: 10.1002/ajh.24038. PMID: 25899435
Cazzola M, Della Porta MG, Malcovati L
Blood 2013 Dec 12;122(25):4021-34. Epub 2013 Oct 17 doi: 10.1182/blood-2013-09-381665. PMID: 24136165Free PMC Article
Finberg KE
Semin Hematol 2009 Oct;46(4):378-86. doi: 10.1053/j.seminhematol.2009.06.006. PMID: 19786206
Catenacci DV, Schiller GJ
Blood Rev 2005 Nov;19(6):301-19. doi: 10.1016/j.blre.2005.01.004. PMID: 15885860
Buzaid AC, Garewal HS, Greenberg BR
Am J Med 1986 Jun;80(6):1149-57. doi: 10.1016/0002-9343(86)90677-7. PMID: 3524212

Prognosis

Patnaik MM, Tefferi A
Am J Hematol 2017 Mar;92(3):297-310. doi: 10.1002/ajh.24637. PMID: 28188970Free PMC Article
Malcovati L, Cazzola M
Best Pract Res Clin Haematol 2013 Dec;26(4):377-85. Epub 2013 Oct 1 doi: 10.1016/j.beha.2013.09.005. PMID: 24507814
Cazzola M, Malcovati L, Invernizzi R
Hematology Am Soc Hematol Educ Program 2011;2011:264-72. doi: 10.1182/asheducation-2011.1.264. PMID: 22160044
Saraya AK, Dhot PS, Saxena R
Indian J Pediatr 1993 Mar-Apr;60(2):187-92. doi: 10.1007/BF02822174. PMID: 8244493
Nand S, Godwin JE
Cancer 1988 Sep 1;62(5):958-64. doi: 10.1002/1097-0142(19880901)62:5<958::aid-cncr2820620519>3.0.co;2-p. PMID: 3409176

Clinical prediction guides

Yoshimi A, Abdel-Wahab O
Int J Hematol 2017 Jun;105(6):720-731. Epub 2017 May 2 doi: 10.1007/s12185-017-2242-0. PMID: 28466384
Patnaik MM, Tefferi A
Am J Hematol 2017 Mar;92(3):297-310. doi: 10.1002/ajh.24637. PMID: 28188970Free PMC Article
Patnaik MM, Tefferi A
Am J Hematol 2015 Jun;90(6):549-59. doi: 10.1002/ajh.24038. PMID: 25899435
Hellström-Lindberg E
Curr Hematol Rep 2003 Mar;2(2):122-9. PMID: 12901143
Gardner FH
Adv Intern Med 1987;32:155-75. PMID: 3548248

Recent systematic reviews

Gu Y, Estcourt LJ, Doree C, Hopewell S, Vyas P
Cochrane Database Syst Rev 2015 Oct 5;2015(10):CD011577. doi: 10.1002/14651858.CD011577.pub2. PMID: 26436602Free PMC Article
Kakaletsis N, Kaiafa G, Savopoulos C, Iliadis F, Perifanis V, Tzalokostas V, Grekou A, Giannouli A, Hatzitolios AI
Acta Haematol 2014;132(2):220-5. doi: 10.1159/000357933. PMID: 24714374
Moyo V, Lefebvre P, Duh MS, Yektashenas B, Mundle S
Ann Hematol 2008 Jul;87(7):527-36. Epub 2008 Mar 20 doi: 10.1007/s00277-008-0450-7. PMID: 18351340

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