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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
Hori K, Onoyama K, Iseki K, Fujimi S, Fujishima M
Clin Nephrol 1990 Jun;33(6):293-8. PMID: 2376091
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

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
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
Hasle H
Hematology Am Soc Hematol Educ Program 2016 Dec 2;2016(1):598-604. doi: 10.1182/asheducation-2016.1.598. PMID: 27913534Free PMC Article
Glaubach T, Robinson LJ, Corey SJ
J Pediatr Hematol Oncol 2014 Jan;36(1):1-7. doi: 10.1097/MPH.0000000000000046. PMID: 24345881
Catenacci DV, Schiller GJ
Blood Rev 2005 Nov;19(6):301-19. doi: 10.1016/j.blre.2005.01.004. PMID: 15885860

Diagnosis

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
Hasle H
Hematology Am Soc Hematol Educ Program 2016 Dec 2;2016(1):598-604. doi: 10.1182/asheducation-2016.1.598. PMID: 27913534Free PMC Article
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
Malcovati L, Della Porta MG, Pietra D, Boveri E, Pellagatti A, Gallì A, Travaglino E, Brisci A, Rumi E, Passamonti F, Invernizzi R, Cremonesi L, Boultwood J, Wainscoat JS, Hellström-Lindberg E, Cazzola M
Blood 2009 Oct 22;114(17):3538-45. Epub 2009 Aug 19 doi: 10.1182/blood-2009-05-222331. PMID: 19692701
Saraya AK, Dhot PS, Saxena R
Indian J Pediatr 1993 Mar-Apr;60(2):187-92. doi: 10.1007/BF02822174. PMID: 8244493

Therapy

Bir Yücel K, Yıldız S, Sütcüoglu O, Güvercin FS, Uyar Göçün P, Özdemir N, Yazıcı O, Özet A
J Oncol Pharm Pract 2024 Jan;30(1):210-214. Epub 2023 Aug 29 doi: 10.1177/10781552231197808. PMID: 37642988
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
Zeldis JB, Knight R, Hussein M, Chopra R, Muller G
Ann N Y Acad Sci 2011 Mar;1222:76-82. doi: 10.1111/j.1749-6632.2011.05974.x. PMID: 21434945
Chen S, Jiang B, Da W, Gong M, Guan M
Int J Hematol 2007 Jan;85(1):11-7. doi: 10.1532/IJH97.A10513. PMID: 17261496
Catenacci DV, Schiller GJ
Blood Rev 2005 Nov;19(6):301-19. doi: 10.1016/j.blre.2005.01.004. PMID: 15885860

Prognosis

Gittler J, Martires K, Terushkin V, Brinster N, Ramsay D
Dermatol Online J 2016 Dec 15;22(12) PMID: 28329538
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
Park S, Picard F, Dreyfus F
Leukemia 2002 Aug;16(8):1399-401. doi: 10.1038/sj.leu.2402549. PMID: 12145675
Beloosesky Y, Cohen AM, Grosman B, Grinblat J
Gerontology 2000 Nov-Dec;46(6):323-7. doi: 10.1159/000022185. PMID: 11044787
Saraya AK, Dhot PS, Saxena R
Indian J Pediatr 1993 Mar-Apr;60(2):187-92. doi: 10.1007/BF02822174. PMID: 8244493

Clinical prediction guides

Kalin B, van Norden Y, van Gelder M, Breems D, Maertens J, Jongen-Lavrencic M, Broers AEC, Braakman E, Grob T, Zeijlemaker W, Ossenkoppele GJ, Meijer E, Cornelissen JJ
Blood Adv 2020 Sep 22;4(18):4430-4437. doi: 10.1182/bloodadvances.2020002074. PMID: 32936907Free PMC Article
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, Lasho TL, Finke CM, Hanson CA, King RL, Ketterling RP, Gangat N, Tefferi A
Am J Hematol 2016 May;91(5):492-8. Epub 2016 Apr 4 doi: 10.1002/ajh.24332. PMID: 26874914
Patnaik MM, Tefferi A
Am J Hematol 2015 Jun;90(6):549-59. doi: 10.1002/ajh.24038. PMID: 25899435
Nakao S, Sugimori C, Yamazaki H
Int J Hematol 2006 Aug;84(2):118-22. doi: 10.1532/IJH97.06077. PMID: 16926132

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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