Myeloproliferative disorders Flashcards
increased peripheral cell counts of granulocytes
Chronic myeloid leukemia
increased peripheral cell counts of platelets
essential thrombocytosis
increased peripheral cell counts of RBCs
Polycythemia vera
overproduction of fibrous tissue in bone marrow, leading to low peripheral cell counts
myelofibrosis
t(9;22) BCR-ABL
chronic myelogenous leukemia
JAK2 increased
Polycythemia vera
essential thrombocytosis
myelofibrosis
increased RBCs without high EPO
increased viscosity of blood
Polycythemia vera
Aquagenic pruritis (unbearable pruritis after warm bath or shower)
Polycythemia vera
associated with _____
Polycythemia Vera
increase in platelet count
must exclude reactive thrombocytosis
essential thrombocytosis
sx’s include bleeding and thrombosis
essential thrombocytosis
fibroblasts activated by PDGF and TGF-B (growth factors of megakaryocytes) and produce excess collagen in bone marrow
primary myelofibrosis
leads to marrow failure and then extramedullary hematopoisesis
primary myelofibrosis
clinical features of this include massive splenomegaly due to extramedullary hematopoisesis
primary myelofibrosis
tear drop cells are classic finding of _____
myelofibrosis
primary myelofibrosis
rare
neoplastic proliferation of dendritic cells (cells of myeloid origin)
CD1a, S100, CD207
Langerhans cell histiocytosis
birbeck granules found in cytoplasm of what
Langerhans cells
children
any organ system
often bone and skin involvement
Langerhans cell histiocytosis
most severe of the Langerhans cell histiocytosis
children
skin rash
bone lesions
fatal
Letterer-Siwe Disease
least severe of the Langerhans cell histiocytosis
adolescents
BONE fracture (not osteosarcoma)
langerhans cells/eosinophils
Eosinophilic granuloma
middle severity of the langerhans cell histiocytosis
TRIAD: scalp lesion, diabetes insipidus, exopthalmos
Hand-Schuller-Christian disease
Hand-Schuller-Christian disease
neoplastic proliferation of mast cells
all ages
cutaneous mastocytosis
systemic mastocytosis
mast cell neoplasms
cutaneous mastocytosis
cutaneous mastocytosis
Mast cells are being produced in the bone marrow in the first place (systemic)
can be in other organs
Diaphoresis, weight loss, fever, night sweats, fatigue
Diarrhea (if GI involved)
KIT mutation
systemic mastocytosis