ABC of Clinical Haematology (ABC Series) by Drew Provan

By Drew Provan

This moment variation of the ABC of scientific Haematology is a entire and sensible advisor to this large ranging speciality, overlaying the haematological points of such parts as pathology, molecular technology, melanoma, and basic drugs. it is a brief quantity consisting of chapters on all components of haematology written through those that take care of those ailments every day. The e-book presents descriptions of those ailments and describes the pathways all for analysis and therapy. complete color is used all through this seriously illustrated publication, utilizing scientific fabric and textual content packing containers to emphasize key issues. we now have additionally attempted to maintain jargon to a minimal in order that the textual content doesn't require wide previous wisdom.

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Extra resources for ABC of Clinical Haematology (ABC Series)

Sample text

The clinician should explain the propensity of the disease to progress to an advanced phase. 5 Course of chronic myeloid leukaemia, showing progression to blastic phase. practice most patients are advised to start treatment with imatinib mesylate (Glivec ®; Novartis) or an imatinib-containing combination. Younger men should be offered cryopreservation of semen if necessary. If CML is diagnosed in pregnancy, the woman should have the chance to continue to term. CML has no adverse effect on pregnancy and pregnancy has no adverse effect on CML.

Classification The acute leukaemias are subdivided into (i) AML and (ii) ALL. AML is a disease of myeloid progenitors (cells from which neutrophils, eosinophils, monocytes, basophils, megakaryocytes and erythrocytes are derived) and is characterized by the accumulation of myeloblasts within the bone marrow (Fig. 1). ALL, in contrast, is a disease of lymphoid progenitors (immature lymphocytes) resulting in infiltration of the bone marrow by lymphoblasts (Fig. 2). 1 Myeloblasts and pathognomonic Auer rod in a patient with acute myeloid leukaemia.

Red cell production is relatively reduced. g. 4 Peripheral blood film from a patient with chronic myeloid leukaemia showing many mature granulocytes, including two basophils (arrow); a blast cell is prominent (double arrow). 4 Survival from CML • Raised white blood cell count (30–300 × 109/L). 3 Investigations to confirm suspected CML Routine • Full blood count including blood film • Urea, electrolytes, uric acid, lactate dehydrogenase • Reverse transcriptase polymerase chain reaction to detect bcr–abl fusion transcripts • Bone marrow aspirate (degree of cellularity, chromosome analysis) Optional • Bone marrow trephine biopsy (extent of fibrosis) • Fluorescence in situ hybridization for bcr–abl fusion gene in blood cells • Human leucocyte antigen typing for patient and siblings • Vitamin B12 and B12 binding capacity (rarely performed) ing rise to platelets, are plentiful but may be smaller than usual and morphologically atypical.

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