Cold autoimmune hemolytic anemia with myelodysplastic syndrome: Not just an “Open and Shut case”
Myelodysplastic syndromes (MDSs) are clonal hematopoietic stem cell neoplasms characterized by bone marrow failure leading to ineffective hematopoiesis, dyspoiesis, and cytopenias with a risk of progression to acute leukemia. Immunological syndromes have been reported to occur along with MDS in lite...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Indian Journal of Pathology and Microbiology |
| Subjects: | |
| Online Access: | http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=1;spage=195;epage=197;aulast=Mutreja |
| _version_ | 1818906235118813184 |
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| author | Deepti Mutreja Gourang Paliwal Vishal Mangal Amit K Biswas |
| author_facet | Deepti Mutreja Gourang Paliwal Vishal Mangal Amit K Biswas |
| author_sort | Deepti Mutreja |
| collection | DOAJ |
| description | Myelodysplastic syndromes (MDSs) are clonal hematopoietic stem cell neoplasms characterized by bone marrow failure leading to ineffective hematopoiesis, dyspoiesis, and cytopenias with a risk of progression to acute leukemia. Immunological syndromes have been reported to occur along with MDS in literature. However, cold autoimmune hemolytic anemia (AIHA) has rarely been reported in association with MDS. Herein, we report a case of an elderly male who presented with fever and cytopenias. He was being treated as a case of megaloblastic anemia in the past with no response to therapy. At present admission, the peripheral blood smear examination revealed red cell agglutination, thrombocytopenia with 4% blasts. Cold agglutinin disease was confirmed by a thermal agglutination test and bone marrow evaluation showed adequate megakaryocytes with 10% blasts; consistent with the diagnosis of MDS with excess blasts (MDS-EB2). Cytogenetic studies revealed multiple abnormalities. This report is being discussed in view of its rarity of presentation of cold AIHA with MDS. |
| first_indexed | 2024-12-19T21:36:00Z |
| format | Article |
| id | doaj.art-63c01690773745c7a56a60f418a715d9 |
| institution | Directory Open Access Journal |
| issn | 0377-4929 |
| language | English |
| last_indexed | 2024-12-19T21:36:00Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Pathology and Microbiology |
| spelling | doaj.art-63c01690773745c7a56a60f418a715d92022-12-21T20:04:47ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292022-01-0165119519710.4103/IJPM.IJPM_981_20Cold autoimmune hemolytic anemia with myelodysplastic syndrome: Not just an “Open and Shut case”Deepti MutrejaGourang PaliwalVishal MangalAmit K BiswasMyelodysplastic syndromes (MDSs) are clonal hematopoietic stem cell neoplasms characterized by bone marrow failure leading to ineffective hematopoiesis, dyspoiesis, and cytopenias with a risk of progression to acute leukemia. Immunological syndromes have been reported to occur along with MDS in literature. However, cold autoimmune hemolytic anemia (AIHA) has rarely been reported in association with MDS. Herein, we report a case of an elderly male who presented with fever and cytopenias. He was being treated as a case of megaloblastic anemia in the past with no response to therapy. At present admission, the peripheral blood smear examination revealed red cell agglutination, thrombocytopenia with 4% blasts. Cold agglutinin disease was confirmed by a thermal agglutination test and bone marrow evaluation showed adequate megakaryocytes with 10% blasts; consistent with the diagnosis of MDS with excess blasts (MDS-EB2). Cytogenetic studies revealed multiple abnormalities. This report is being discussed in view of its rarity of presentation of cold AIHA with MDS.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=1;spage=195;epage=197;aulast=Mutrejaautoimmune hemolytic anemiacold agglutinin diseasemyelodysplastic syndrome |
| spellingShingle | Deepti Mutreja Gourang Paliwal Vishal Mangal Amit K Biswas Cold autoimmune hemolytic anemia with myelodysplastic syndrome: Not just an “Open and Shut case” Indian Journal of Pathology and Microbiology autoimmune hemolytic anemia cold agglutinin disease myelodysplastic syndrome |
| title | Cold autoimmune hemolytic anemia with myelodysplastic syndrome: Not just an “Open and Shut case” |
| title_full | Cold autoimmune hemolytic anemia with myelodysplastic syndrome: Not just an “Open and Shut case” |
| title_fullStr | Cold autoimmune hemolytic anemia with myelodysplastic syndrome: Not just an “Open and Shut case” |
| title_full_unstemmed | Cold autoimmune hemolytic anemia with myelodysplastic syndrome: Not just an “Open and Shut case” |
| title_short | Cold autoimmune hemolytic anemia with myelodysplastic syndrome: Not just an “Open and Shut case” |
| title_sort | cold autoimmune hemolytic anemia with myelodysplastic syndrome not just an open and shut case |
| topic | autoimmune hemolytic anemia cold agglutinin disease myelodysplastic syndrome |
| url | http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=1;spage=195;epage=197;aulast=Mutreja |
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