Distinguishing constitutional from acquired bone marrow failure in the hematology clinic.

Aplastic anemia Bone marrow failure Cancer Constitutional bone marrow failure IBMFS Inherited bone marrow failure syndromes Myelodysplastic syndrome Predisposition syndromes

Journal

Best practice & research. Clinical haematology
ISSN: 1532-1924
Titre abrégé: Best Pract Res Clin Haematol
Pays: Netherlands
ID NLM: 101120659

Informations de publication

Date de publication:
06 2021
Historique:
received: 02 05 2021
revised: 19 05 2021
accepted: 22 05 2021
entrez: 18 8 2021
pubmed: 19 8 2021
medline: 14 1 2022
Statut: ppublish

Résumé

Distinguishing constitutional from immune bone marrow failure (BMF) has important clinical implications. However, the diagnosis is not always straightforward, and immune aplastic anemia, the commonest BMF, is a diagnosis of exclusion. In this review, we discuss a general approach to the evaluation of BMF, focusing on clinical presentations particular to immune and various constitutional disorders as well as the interpretation of bone marrow histology, flow cytometry, and karyotyping. Additionally, we examine the role of specialized testing in both immune and inherited BMF, and discuss genetic testing, both its role in patient evaluation and interpretation of results.

Identifiants

pubmed: 34404527
pii: S1521-6926(21)00040-2
doi: 10.1016/j.beha.2021.101275
pmc: PMC8374085
mid: NIHMS1712102
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Intramural Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

101275

Subventions

Organisme : Intramural NIH HHS
ID : Z99 HL999999
Pays : United States

Informations de copyright

Published by Elsevier Ltd.

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Auteurs

Emma M Groarke (EM)

Hematology Branch, National Heart, Lung and Blood Institute, National Institutes of Health, Clinical Center, Building 10, 3-E, room 3-5240, 10 Center Drive, Bethesda, MD, 20892, United States. Electronic address: emma.groarke@nih.gov.

Neal S Young (NS)

Hematology Branch, National Heart, Lung and Blood Institute, National Institutes of Health, Clinical Center, Building 10, 3-E, room 3-5240, 10 Center Drive, Bethesda, MD, 20892, United States. Electronic address: youngns@nhlbi.nih.gov.

Katherine R Calvo (KR)

Hematology Section, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Clinical Center, Building 10, Department of Laboratory Medicine, 10 Center Drive, Bethesda, MD, 20892, United States. Electronic address: calvok@cc.nih.gov.

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