These chronic disorders result from neoplastic proliferation of hemopoeitic stem cell which differentiate along one or more pathways.
MPD are
MPD are
n1) CML
n2) Polycythemia vera
n3) Essential thrombocytosis
n4) Primary myelofibrosis
n2) Polycythemia vera
n3) Essential thrombocytosis
n4) Primary myelofibrosis
Common features of MPD
1) Neoplastic stem cell have capacity to circulate and home to secondary hemopoietic organ and causes extramedullary hemopoiesis.
2) Gradually causes marrow fibrosis and
3) Progress to acute leukemia
2) Gradually causes marrow fibrosis and
3) Progress to acute leukemia
Causes/Types of Polycythemia
nA) Absulate polycythemia
n i) Primary– Polycythemia vera
n ii) Secondary—due to hypoxia
n - CHD, COPD,
n High altitude.
n due to inappropriate erythropoitin
n e.g- Kidney tumor and cyst, HCC
nB) Relative polycythemia—Dehydration.
n i) Primary– Polycythemia vera
n ii) Secondary—due to hypoxia
n - CHD, COPD,
n High altitude.
n due to inappropriate erythropoitin
n e.g- Kidney tumor and cyst, HCC
nB) Relative polycythemia—Dehydration.
Polycythemia vera
Is a neoplasm arise from multipotent myeloid
stem cell characterized by increasing
production of cells of erythroid, granulocytic and
megakarryocytic series.
stem cell characterized by increasing
production of cells of erythroid, granulocytic and
megakarryocytic series.
Clinical features
nOnset insidiously, Occurs at late middle age.
nDusky brick-red face (Ruddy cyanosis)
n Headache, Dizziness,Hypertention, Gout
nComplication of thrombosis ( MI, Stroke )
nSplenomegali.
nDusky brick-red face (Ruddy cyanosis)
n Headache, Dizziness,Hypertention, Gout
nComplication of thrombosis ( MI, Stroke )
nSplenomegali.
Laboratory diagnosis
nBlood picture- Hb- 18—24 gm/ dl
n PCV- 60% or more
n ESR- 1mm in 1st hour
n WBC- 12- 50,000/ cumm with neutrophilia and basophilia
n Platelet- more than 500000/cumm
nNAP score - Increased
n PCV- 60% or more
n ESR- 1mm in 1st hour
n WBC- 12- 50,000/ cumm with neutrophilia and basophilia
n Platelet- more than 500000/cumm
nNAP score - Increased
Bone marrow
nCellularity- Hypercelluler
nErythropoisis, granulopoisis and megakarryopoiesis are increased.
nErythropoisis, granulopoisis and megakarryopoiesis are increased.
Myelodysplastic disorders/syndrome:http://myelodysplasticdisorders.blogspot.com/
Polycythemia is a long-running situation and does not have any procedure of treatment or says it can’t be cured. Though, specialists are of the outlook that intake of Natural Remedies for Polycythemia Vera could assist in thinning of blood and obstruct blood clots.
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