The Approach to Thrombosis Prevention across the Spectrum of Philadelphia-Negative Classic Myeloproliferative Neoplasms

نویسندگان

چکیده

Patients with myeloproliferative neoplasm (MPN) are potentially facing diminished life expectancy and decreased quality of life, due to thromboembolic hemorrhagic complications, progression myelofibrosis or acute leukemia ensuing signs hematopoietic insufficiency, disturbing symptoms such as pruritus, night sweats, bone pain. In patients essential thrombocythemia (ET) polycythemia vera (PV), current guidelines recommend both primary secondary measures prevent thrombosis. These include acetylsalicylic acid (ASA) for intermediate- high-risk ET all PV, unless they have contraindications ASA use, phlebotomy PV patients. A target hematocrit level below 45% is demonstrated be associated cardiovascular events in PV. addition, cytoreductive therapy shown reduce the rate thrombotic complications prefibrotic (pre-PMF), similar recommended those ET. overt PMF may at increased risk bleeding thus require a more individualized approach thrombosis prevention. This review summarizes factors preventive against MPN.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Evolving Therapeutic Strategies for the Classic Philadelphia-Negative Myeloproliferative Neoplasms

Despite the emergence of JAK inhibitors, there is a need for disease-modifying treatments for Philadelphia-negative myeloproliferative neoplasms (MPNs). JAK inhibitors ameliorate symptoms and address splenomegaly, but because of the heterogeneous contributors to the disease process, JAK inhibitor monotherapy incompletely addresses the burden of disease. The ever-growing understanding of MPN pat...

متن کامل

Philadelphia-negative chronic myeloproliferative neoplasms

Chronic myeloproliferative diseases without the Philadelphia chromosome marker (Ph-), although first described 60 years ago, only became the subject of interest after the turn of the millennium. In 2001, the World Health Organization (WHO) defined the classification of this group of diseases and in 2008 they were renamed myeloproliferative neoplasms based on morphological, cytogenetic and molec...

متن کامل

Molecular biology of Philadelphia-negative myeloproliferative neoplasms

Myeloproliferative neoplasms are clonal diseases of hematopoietic stem cells characterized by myeloid hyperplasia and increased risk of developing acute myeloid leukemia. Myeloproliferative neoplasms are caused, as any other malignancy, by genetic defects that culminate in the neoplastic phenotype. In the past six years, since the identification of JAK2V617F, we have experienced a substantial i...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Hemato

سال: 2021

ISSN: ['2673-6357']

DOI: https://doi.org/10.3390/hemato2030025