Myelodysplastic disorders** Flashcards

1
Q

What is myelodysplasia?

A

abnormal maturation and proliferation of haematopoietic stem cells in bon marrow

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2
Q

Pathophys of myelodysplasia?

A

deformed cells cannot get into blood stream

often affects red cells, granulocytes, platelets (pancytopenia)

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3
Q

Presentation of myelodysplasia?

A

often in elderly
isolated anaemia
general - fatigue/ SOB/ pallor/ petechiae

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4
Q

Symptoms of myelodysplasia?

A

depends on affected cell line:

neutropenia - recurrent infections
thrombocytopenia - easy bruising/ bleeding

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5
Q

Lab findings/ investigation of myelodysplasia?

A

cytopenias in FBC
blood film = morphological disorder of cell line
red cell macrocytosis
bone marrow exam

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6
Q

WHO classification of myelodysplasia?

A

6 subtypes

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7
Q

What condition can myelodysplasia develop into and why?

A

AML - build of of blasts in bone marrow

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8
Q

Treatment of Myelodysplasia?

A

Blood and platelet transfusions
thalidomide

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