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Конго Красный разоблачает кульприт за кишечным кровотечением.

Иммуноглобулиновая световая цепочка (AL) амилоидоз возникает из плазменной клеточной дискрасии и характеризуется внеклеточным осаждением завязанных световых цепочек. Гастроин кишечника (GI) является редкой, но клинически важной, поскольку связанная с амилоидами слизистая ишемия и сосудистая хрупкость могут вызвать значительное кровотечение. A 65-year-old Женщина с системным АЛ (ламбда) амилоидозом с сердечным и почечным участием и стадия II IgA lambda myeloma с несколькими часами острой гематохезии. Её гемоглобин был 9.6 g/dL в отношении товарного вида. Вычисленная томография не выявила активн

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… Hospital day 0 to one: platelet transfusions administered; rapid bowel preparation completed. Hospital day three: colonoscopy showed adherent sigmoid clot (22-40 cm), no active bleeding; exam limited by clot burden. … Platelet transfusions were administered for severe thrombocytopenia in the setting of active bleeding risk. Because CTA did not identify an active vascular source, endoscopic evaluation was pursued after rapid bowel preparation. …

Немногодействующий клеточный ассоциированный гематотоксичный с вторичным миэлофиброзом после Идекабтаген-Виклеукеля для множественной миеломы, полностью обработанный аутентичным гематопоэтическим сетком.

Panktopenia в сочетании с химериковой антигенной рецепторной клеткой T (CAR-T) называется иммунной гематопоиетической токсичностью (ICAHT), которая часто устойчива и противодействует поддержке. Мы сообщаем о случае 52-year-old Человек с множественной миеломой, который развил серьёзный ИКАХТ с вторичным миэлофиброзом (SMF) после введения идекабатагена-виклеукаля, который был полностью усовершенствован за счет аутологического гематопоиетического усиления стволовых клеток. В данном случае основное внимание уделяется СМФ как редким, но осторожным осложнениям CAR-T-терапии, что подчеркивает важност

Left Atrial Appendage Occlusion in Cancer-Associated Atrial Fibrillation: Who, When, and How to Manage Antithrombotic Therapy.

BackgroundCancer-associated atrial fibrillation (AF) is increasingly common, posing dual risks of thrombosis and bleeding. Long-term oral anticoagulation is often limited in these patients due to drug interactions, thrombocytopenia, and treatment-related bleeding. Left atrial appendage occlusion (LAAO) offers a non-pharmacological alternative for stroke prevention, yet its optimal use in cancer remains uncertain.MethodsWe conducted a narrative review of studies from 2009 to October 2025 across PubMed, Embase, and Google Scholar, including randomized trials, observational studies, registries, c

Increased Indoleamine 2, 3-Dioxygenase expression modulates Th1/Th17/Th22 and Treg pathway in humans with Helicobacter Pylori-Infected gastric mucosa.

Introduction and purposeIndoleamine 2, 3- dioxygenase (IDO) plays an importantrole in immunosuppressive pathway, as inhibits responsesof T cells and promotes immune tolerance. Host responsetoHelicobacter pylori (H. pylori) is involved in the infection persistenceand it is also associatedwith different clinical outcomes. The aim of this study was to investigate the role of IDO in H. pylori-infected patients with gastritis diseases and peptic ulcer diseases (PUD) through the assessment of the relationship among IDO protein expression and the numbers of T helper (Th)-1, Th17, Th22, and T regulato

Bridging Haemato-Oncology and Critical Care: Survival and Functional Outcomes From a Portuguese Central Hospital.

Background Despite substantial therapeutic progress in haemato-oncology (HO), referring exclusively to patients with haematological malignancies, ICU admission decisions for these patients are often hindered by the perception of poor prognosis. This study aimed to evaluate the one-year survival and functional outcomes of critically ill HO patients following hospital discharge. Methods A retrospective, single-centre observational study was conducted in a Portuguese tertiary care centre, including 54 consecutive non-elective ICU admissions of adult HO patients between January 2022 and October 20

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… transfusions | 8 (3-11) Acute kidney injury, % (n) | 74.0% (n = 40) Renal replacement therapy, % (n) | 50.0% (n = 20) Vasopressors, % (n) | 61.0% (n = 33) Admission lactate, median (P25-P75) | 2.63 (1.29-4.00) Chemotherapy in the ICU, % (n) | 14.8% (n = 8) Corticosteroids, % (n) | 46.3% (n = 25) Herpes … A median of 8 platelet transfusions per patient (P25-P75 3-11) was documented. …

A qualitative evidence synthesis of healthcare professionals' experiences and views of palliative care for patients with a haematological malignancy.

IntroductionPatients with haematological malignancies may not be receiving appropriate referrals to palliative care and continuing to have treatments in the end stages of their disease. This systematic review of qualitative research aimed to synthesise healthcare professionals' (HCPs) views and experiences of palliative care for adult patients with a haematologic malignancy.MethodsA systematic search strategy was undertaken across eight databases. Thomas and Harden's approach to thematic analysis guided synthesis on the seventeen included studies. GRADE-GRADEQual guided assessment of confidenc

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… Moreover, when patients need multiple blood and platelet transfusions requiring frequent visits to hospital, haematologists may be reluctant to hand over the care to palliative care (Ofran et al., 2019 ). … Following an analysis of home care for 15 haematological patients, Kodama et al. ( 2009 ) suggest that haematology patients requiring frequent transfusion or platelet transfusions due to high risk of bleeding should be excluded from home care, and only patients with indolent disease who can take oral …

Autoimmune Hemolytic Anemias: Challenges in Diagnosis and Therapy.

BackgroundAutoimmune hemolytic anemia (AIHA) is a rare disease due to increased destruction of erythrocytes by autoantibodies, with or without complement activation.SummaryAIHA is usually classified in warm AIHA (wAIHA) and cold agglutinin disease (CAD), based on isotype and thermal amplitude of the autoantibody. The direct antiglobulin test (DAT) or Coombs test is the cornerstone of AIHA diagnosis, as it is positive with anti-IgG in wAIHA, and with anti-C3d/IgM antisera plus high titer cold agglutinins in CAD. Therapy is quite different, as steroids and rituximab are effective in the former,

Stem Cells Collection and Mobilization in Adult Autologous/Allogeneic Transplantation: Critical Points and Future Challenges.

Achieving successful hematopoietic stem cell transplantation (HSCT) relies on two fundamental pillars: effective mobilization and efficient collection through apheresis to attain the optimal graft dose. These cornerstones pave the way for enhanced patient outcomes. The primary challenges encountered by the clinical unit and collection facility within a transplant program encompass augmenting mobilization efficiency to optimize the harvest of target cell populations, implementing robust monitoring and predictive strategies for mobilization, streamlining the apheresis procedure to minimize colle

Hemato- Oncology Care in COVID-19 Pandemic: Crisis within a Crisis.

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:: 45th Ежегодное совещание Европейского общества по трансплантации крови и костного мозга: Врачи - сессия плаката.

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… In three patients, neutropenia G4 occurred and one patient needed platelet transfusion. All patients were managed in the outpatient setting. In eight out of nine patients (89%), HR was successfully prevented and 3 patients (33%) even became MRD negative prior to HSCT. …

Evaluation of the Enhanced Recovery After Surgery (ERAS) Guidance for Patients With Spinal Metastasis.

Surgery continues to remain the most effective treatment for spinal metastasis (SM). As the number of surgeries continues to grow, the need for consensus guidelines for optimal perioperative care is imperative. Enhanced recovery after surgery (ERAS) protocols were created for this purpose. The objective of this study is to review evidence-based ERAS guidelines for SM surgery. A group of multiple experienced spine surgeons was invited to participate in this study. This group identified 19 ERAS items for SM surgery. The principal literature search utilized MEDLINE, Embase, and Cochrane databases

Phase II study of unrelated cord blood transplantation for adults with high-risk hematologic malignancies.

Cell dose is a critical determinant of outcomes in unrelated cord blood (CB) transplantation. We investigated a strategy in which CB units should contain at least 2 x 10(7) total nucleated cells/kg of recipient weight, otherwise a second unit had to be added. We report the results of a study that was prematurely closed owing to toxicity. Patients with advanced hematologic malignancies without a human leukocyte antigen-matched sibling or unrelated donor were eligible. Conditioning regimen consisted of fludarabine and 12 Gy of total body irradiation (n=11), or melphalan (n=4), with antithymocyte

Changing Management of Hematological Malignancies With COVID-19: Statement and Recommendations of the Lebanese Society of Hematology and Blood Transfusion.

COVID-19 caused by SARS-Cov-2 is a devastating infection in patients with hematological malignancies. In 2018, the Lebanese Society of Hematology and Blood Transfusion (LSHBT) updated the guidelines for the management of hematological malignancies in Lebanon. In 2019, it was followed by a second update. Given the rapidly changing evidence and general situation for COVID-19, the LSHBT established some recommendations and suggestions for the management of the patients with hematological malignancies taking into account the Lebanese condition, economic situation, and the facts that SARS-Cov-2 inf

Резюме книги для 27th Конгресс Европейской ассоциации гематологии

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Ageing, exposure to pollution, and interactions between climate change and local seasons as oxidant conditions predicting incident hematologic malignancy at KINSHASA University clinics, Democratic Republic of CONGO (DRC).

BACKGROUND: The global burden of hematologic malignancy (HM) is rapidly rising with aging, exposure to polluted environments, and global and local climate variability all being well-established conditions of oxidative stress. However, there is currently no information on the extent and predictors of HM at Kinshasa University Clinics (KUC), DR Congo (DRC). This study evaluated the impact of bio-clinical factors, exposure to polluted environments, and interactions between global climate changes (EL Nino and La Nina) and local climate (dry and rainy seasons) on the incidence of HM. METHODS: This

A Comprehensive Review of the Diagnosis and Management of Acute Liver Failure.

Acute liver failure (ALF) is a rare and specific form of severe hepatic dysfunction characterized by coagulopathy and hepatic encephalopathy in a patient with no known liver disease. ALF carries a high morbidity and mortality. Careful attention should be given to hemodynamics and metabolic parameters along with the active surveillance of infections. Timely transfer and supportive management are important in an intensive care unit in a liver transplant center. Identifying patients who will and will not improve with medical management and may need emergent liver transplantation is critical. In t

Clinical evaluation and determinants of response to HBI0101 (BCMA CART) therapy in relapsed/refractory multiple myeloma.

AbstractHBI0101 is an academic chimeric antigen receptor T-cell (CART)-targeted to B-cell maturation antigen (BCMA) for the treatment of relapsed and refractory multiple myeloma (R/RMM) and light chain amyloidosis. Herein, we present the phase 1b/2 results of 50 heavily pretreated patients with R/RMM dosed with 800 × 106 CART cells. Inclusion criteria were relatively permissive (i.e., performance status and baseline organ function) and consequently, approximately half of the enrolled patients would have been ineligible for pivotal clinical trials. The median time elapsed from patient enrollmen

Abstracts of the Cell Therapy Transplant Canada 2024 Annual Conference.

On behalf of Cell Therapy Transplant Canada (CTTC), we are pleased to present the Abstracts of the CTTC 2024 Annual Conference. The conference was held on 1-3 May 2024 in beautiful Victoria, British Columbia, at the Victoria Conference Centre, and attracted 293 in-person delegates and five virtual attendees. Several plenary sessions were held on topics such as gene therapy for hemoglobin disorders, optimizing donor selection, graft-versus-host disease (GvHD) strategies, collaborative care, survivorship, graft failure, and CAR-T therapy. Poster authors presented their work during a lively and e

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… Platelet transfusion was not required for four (57%) patients. Median hospitalization period was 33 days (range 27–41). There was low incidence in both acute and chronic GVHD. Only one patient developed grade 1 skin GVHD on day +120 that was treated with topical corticosteroids. …

Diffuse alveolar hemorrhage in rheumatic diseases: Clinical features, diagnosis, and management.

Diffuse alveolar hemorrhage (DAH) is a catastrophic pulmonary manifestation of systemic autoimmune and rheumatic diseases, particularly systemic lupus erythematosus (SLE), ANCA-associated vasculitis (AAV), and antiphospholipid syndrome (APS). It arises from immune-mediated injury to the pulmonary microcirculation, leading to intra-alveolar bleeding, respiratory failure, and high mortality. Despite advances in immunosuppression, DAH continues to pose major diagnostic and therapeutic challenges, with limited consensus on optimal management. We conducted an updated and comprehensive review of the

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… If hypotension occurs, intravenous (IV) fluids should be administered carefully to avoid the risk of pulmonary edema. [ 68 ] Any underlying coagulopathy should be corrected, and thrombocytopenia should be managed with platelet transfusions if the platelet count is significantly low, with a target platelet … transfusion—The new immunology of an old therapy Front Immunol 2015 6 28 25699046 10.3389/fimmu.2015.00028 PMC4313719 [72] Matute Martinez C Babu V Hamdan A Garcia Fernandez A Recurrent diffuse alveolar hemorrhage in systemic sclerosis as complication of COVID-19 Chest 2021 160 A711 …

Fedratinib, a newly approved treatment for patients with myeloproliferative neoplasm-associated myelofibrosis.

Myeloproliferative neoplasm (MPN)-associated myelofibrosis (MF) is characterized by cytopenias, marrow fibrosis, constitutional symptoms, extramedullary hematopoiesis, splenomegaly, and shortened survival. Constitutive activation of the janus kinase/signal transducer and activator of transcription (JAK/STAT) signaling pathway in MF leads to cell proliferation, inhibition of cell death, and clonal expansion of myeloproliferative malignant cells. Fedratinib is a selective oral JAK2 inhibitor recently approved in the United States for treatment of adult patients with intermediate-2 or high-risk M