107 research outputs found
Successful Control of Acute Myelofibrosis with Lenalidomide
Acute panmyelosis with myelofibrosis (APMF) is a rare, fatal hematological neoplasm that is characterized by the acute onset of cytopenias and fibrosis in the bone marrow in the absence of splenomegaly or fibrosis-related morphological changes in the RBCs. We present the case of a 59-year-old female who presented with a two-month history of anemia, leucopenia and a normal platelet count. The marrow was heavily fibrotic, and no aspirate material could be obtained; the biopsy showed extensive infiltration with small to medium size megakaryocytes, dysplastic changes in the erythroid compartment, and left shift in the myeloid cells. The patient was treated for four months with anabolic steroids (Danazol), growth factors and received regular blood transfusions. At 4 months after diagnosis, the patient was started on Lenalidomide, 10 mg/day for a 21-d-course along with growth factor support. At 6 months after treatment, the patient was transfusion-independent, had normalized blood counts, and, at 32 months on continuous lenalidomide treatment, her needs for growth factor support have been minimized. Repeat bone marrow biopsies showed a patchy distribution of fibrosis with areas of normal cellularity and morphology. To our knowledge, this is the first case for a medication that could reverse the fatal outcome of APMF
Multiple Autoimmune Propensity and B-Non-Hodgkin Lymphoma: Cause or Effect?
We report a case of multiple autoimmunity consisting of the presence of autoimmune haemolytic anaemia (AIHA), antimitochondrial antibodies (AMAs), and antiphospholipid antibodies (APLAbs) as the presenting manifestations of an extrahepatic B-non-Hodgkin lymphoma (B-NHL) in a 63-year-old woman. The patient presented with fatigue attributed to severe AIHA. Due to increased serum IgM and γ-GT levels, an investigation for AMA was performed, which proved positive with anti-M2 specificity. A prolongation of activated partial thromboplastin time (aPTT) led to the determination of APLAbs (lupus anticoagulant and other APLAbs) which were also positive. Bone marrow biopsy in combination with immmunohistochemical studies established the diagnosis of lymphoplasmacytic B-NHL. Ten months later, B-NHL was in remission while AMA and APLAbs were still positive. In conclusion, we documented the coexistence of multiple autoimmune reactions together with B-NHL highlighting the possible common pathogenetic pathways of the two entities
The anisotropy of granular materials
The effect of the anisotropy on the elastoplastic response of two dimensional
packed samples of polygons is investigated here, using molecular dynamics
simulation. We show a correlation between fabric coefficients, characterizing
the anisotropy of the granular skeleton, and the anisotropy of the elastic
response. We also study the anisotropy induced by shearing on the subnetwork of
the sliding contacts. This anisotropy provides an explanation to some features
of the plastic deformation of granular media.Comment: Submitted to PR
Comparison of treatment results between holmium laser endourethrotomy and optical internal urethrotomy for urethral stricture
Effect of CexZryLazOδ mixed oxides on the structural and catalytic behavior of monometallic catalytic converters under simulated exhaust conditions
An investigation of the role of Zr and La dopants into Ce1-x-yZrxLayO delta enriched gamma-Al2O3 TWC washcoats
Effect of CexZryLazO delta Mixed Oxides on the Structural and Catalytic Behavior of Monometallic Catalytic Converters Under Simulated Exhaust Conditions
An investigation of the role of Zr and La dopants into Ce1-x-yZrxLayOδ enriched γ-Al2O3 TWC washcoats
Development of a Ce-Zr-La modified Pt/gamma-Al2O3 TWCs' washcoat: Effect of synthesis procedure on catalytic behaviour and thermal durability
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