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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

McKay S, Cohran V, Bass LM
Curr Gastroenterol Rep 2023 Jul;25(7):169-173. Epub 2023 Jun 12 doi: 10.1007/s11894-023-00873-w. PMID: 37303027
List AF
Cancer Control 2010 Jan;17 Suppl:2-8. doi: 10.1177/107327481001701s01. PMID: 20125080
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

Patnaik MM, Tefferi A
Am J Hematol 2019 Apr;94(4):475-488. Epub 2019 Jan 24 doi: 10.1002/ajh.25397. PMID: 30618061Free PMC Article
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
Sultan C, Imbert M, Jouault H, Scoazec JY
Acta Haematol 1987;78 Suppl 1:91-3. doi: 10.1159/000205910. PMID: 3124454

Therapy

Xuan L, Dai M, Jiang E, Wang Y, Huang F, Fan Z, Xu N, Nie D, Liang X, Chen H, Ye J, Shi P, Liu H, Jin H, Lin R, Yan C, Zhang Y, Sun J, Han M, Liu Q
Lancet Haematol 2023 Mar;10(3):e178-e190. Epub 2023 Jan 23 doi: 10.1016/S2352-3026(22)00375-1. PMID: 36702138
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
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
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
Gardner FH
Adv Intern Med 1987;32:155-75. PMID: 3548248

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
Newman K, Maness-Harris L, El-Hemaidi I, Akhtari M
Asian Pac J Cancer Prev 2012;13(4):1081-91. doi: 10.7314/apjcp.2012.13.4.1081. PMID: 22799286
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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