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Severe Aplastic Anemia

MedGen UID:
407975
Concept ID:
C1883018
Disease or Syndrome

Definition

Life-threatening anemia associated with a high risk of infection or bleeding. [from NCI]

Professional guidelines

PubMed

McReynolds LJ, Rafati M, Wang Y, Ballew BJ, Kim J, Williams VV, Zhou W, Hendricks RM, Dagnall C, Freedman ND, Carter B, Strollo S, Hicks B, Zhu B, Jones K, Paczesny S, Marsh SGE, Spellman SR, He M, Wang T, Lee SJ, Savage SA, Gadalla SM
Blood 2022 Aug 25;140(8):909-921. doi: 10.1182/blood.2022016508. PMID: 35776903Free PMC Article
Georges GE, Doney K, Storb R
Blood Adv 2018 Aug 14;2(15):2020-2028. doi: 10.1182/bloodadvances.2018021162. PMID: 30108110Free PMC Article
Peslak SA, Olson T, Babushok DV
Curr Treat Options Oncol 2017 Nov 16;18(12):70. doi: 10.1007/s11864-017-0511-z. PMID: 29143887Free PMC Article

Recent clinical studies

Etiology

Peffault de Latour R, Kulasekararaj A, Iacobelli S, Terwel SR, Cook R, Griffin M, Halkes CJM, Recher C, Barraco F, Forcade E, Vallejo JC, Drexler B, Mear JB, Smith AE, Angelucci E, Raymakers RAP, de Groot MR, Daguindau E, Nur E, Barcellini W, Russell NH, Terriou L, Iori AP, La Rocca U, Sureda A, Sánchez-Ortega I, Xicoy B, Jarque I, Cavenagh J, Sicre de Fontbrune F, Marotta S, Munir T, Tjon JML, Tavitian S, Praire A, Clement L, Rabian F, Marano L, Hill A, Palmisani E, Muus P, Cacace F, Frieri C, van Lint MT, Passweg JR, Marsh JCW, Socié G, Mufti GJ, Dufour C, Risitano AM; Severe Aplastic Anemia Working Party of the European Society for Blood and Marrow Transplantation
N Engl J Med 2022 Jan 6;386(1):11-23. doi: 10.1056/NEJMoa2109965. PMID: 34986284
Patel BA, Groarke EM, Lotter J, Shalhoub R, Gutierrez-Rodrigues F, Rios O, Quinones Raffo D, Wu CO, Young NS
Blood 2022 Jan 6;139(1):34-43. doi: 10.1182/blood.2021012130. PMID: 34525188Free PMC Article
Shimano KA, Narla A, Rose MJ, Gloude NJ, Allen SW, Bergstrom K, Broglie L, Carella BA, Castillo P, de Jong JLO, Dror Y, Geddis AE, Huang JN, Lau BW, McGuinn C, Nakano TA, Overholt K, Rothman JA, Sharathkumar A, Shereck E, Vlachos A, Olson TS, Bertuch AA, Wlodarski MW, Shimamura A, Boklan J
Am J Hematol 2021 Nov 1;96(11):1491-1504. Epub 2021 Aug 20 doi: 10.1002/ajh.26310. PMID: 34342889
Georges GE, Doney K, Storb R
Blood Adv 2018 Aug 14;2(15):2020-2028. doi: 10.1182/bloodadvances.2018021162. PMID: 30108110Free PMC Article
Townsley DM, Scheinberg P, Winkler T, Desmond R, Dumitriu B, Rios O, Weinstein B, Valdez J, Lotter J, Feng X, Desierto M, Leuva H, Bevans M, Wu C, Larochelle A, Calvo KR, Dunbar CE, Young NS
N Engl J Med 2017 Apr 20;376(16):1540-1550. doi: 10.1056/NEJMoa1613878. PMID: 28423296Free PMC Article

Diagnosis

Shimano KA, Narla A, Rose MJ, Gloude NJ, Allen SW, Bergstrom K, Broglie L, Carella BA, Castillo P, de Jong JLO, Dror Y, Geddis AE, Huang JN, Lau BW, McGuinn C, Nakano TA, Overholt K, Rothman JA, Sharathkumar A, Shereck E, Vlachos A, Olson TS, Bertuch AA, Wlodarski MW, Shimamura A, Boklan J
Am J Hematol 2021 Nov 1;96(11):1491-1504. Epub 2021 Aug 20 doi: 10.1002/ajh.26310. PMID: 34342889
Georges GE, Doney K, Storb R
Blood Adv 2018 Aug 14;2(15):2020-2028. doi: 10.1182/bloodadvances.2018021162. PMID: 30108110Free PMC Article
Peslak SA, Olson T, Babushok DV
Curr Treat Options Oncol 2017 Nov 16;18(12):70. doi: 10.1007/s11864-017-0511-z. PMID: 29143887Free PMC Article
Bacigalupo A
Blood 2017 Mar 16;129(11):1428-1436. Epub 2017 Jan 17 doi: 10.1182/blood-2016-08-693481. PMID: 28096088
Hartung HD, Olson TS, Bessler M
Pediatr Clin North Am 2013 Dec;60(6):1311-36. Epub 2013 Oct 16 doi: 10.1016/j.pcl.2013.08.011. PMID: 24237973Free PMC Article

Therapy

Peffault de Latour R, Kulasekararaj A, Iacobelli S, Terwel SR, Cook R, Griffin M, Halkes CJM, Recher C, Barraco F, Forcade E, Vallejo JC, Drexler B, Mear JB, Smith AE, Angelucci E, Raymakers RAP, de Groot MR, Daguindau E, Nur E, Barcellini W, Russell NH, Terriou L, Iori AP, La Rocca U, Sureda A, Sánchez-Ortega I, Xicoy B, Jarque I, Cavenagh J, Sicre de Fontbrune F, Marotta S, Munir T, Tjon JML, Tavitian S, Praire A, Clement L, Rabian F, Marano L, Hill A, Palmisani E, Muus P, Cacace F, Frieri C, van Lint MT, Passweg JR, Marsh JCW, Socié G, Mufti GJ, Dufour C, Risitano AM; Severe Aplastic Anemia Working Party of the European Society for Blood and Marrow Transplantation
N Engl J Med 2022 Jan 6;386(1):11-23. doi: 10.1056/NEJMoa2109965. PMID: 34986284
Patel BA, Groarke EM, Lotter J, Shalhoub R, Gutierrez-Rodrigues F, Rios O, Quinones Raffo D, Wu CO, Young NS
Blood 2022 Jan 6;139(1):34-43. doi: 10.1182/blood.2021012130. PMID: 34525188Free PMC Article
Bussel JB, Soff G, Balduzzi A, Cooper N, Lawrence T, Semple JW
Drug Des Devel Ther 2021;15:2243-2268. Epub 2021 May 26 doi: 10.2147/DDDT.S299591. PMID: 34079225Free PMC Article
Ghanima W, Cooper N, Rodeghiero F, Godeau B, Bussel JB
Haematologica 2019 Jun;104(6):1112-1123. Epub 2019 May 9 doi: 10.3324/haematol.2018.212845. PMID: 31073079Free PMC Article
Townsley DM, Scheinberg P, Winkler T, Desmond R, Dumitriu B, Rios O, Weinstein B, Valdez J, Lotter J, Feng X, Desierto M, Leuva H, Bevans M, Wu C, Larochelle A, Calvo KR, Dunbar CE, Young NS
N Engl J Med 2017 Apr 20;376(16):1540-1550. doi: 10.1056/NEJMoa1613878. PMID: 28423296Free PMC Article

Prognosis

Zhang Y, He Y, Wang S, Sun J, Jia J, Gong Y, He G, Li J
Front Immunol 2023;14:1197982. Epub 2023 Jul 11 doi: 10.3389/fimmu.2023.1197982. PMID: 37497227Free PMC Article
Kulasekararaj AG, Hill A, Rottinghaus ST, Langemeijer S, Wells R, Gonzalez-Fernandez FA, Gaya A, Lee JW, Gutierrez EO, Piatek CI, Szer J, Risitano A, Nakao S, Bachman E, Shafner L, Damokosh AI, Ortiz S, Röth A, Peffault de Latour R
Blood 2019 Feb 7;133(6):540-549. Epub 2018 Dec 3 doi: 10.1182/blood-2018-09-876805. PMID: 30510079Free PMC Article
Bacigalupo A
Blood 2017 Mar 16;129(11):1428-1436. Epub 2017 Jan 17 doi: 10.1182/blood-2016-08-693481. PMID: 28096088
Hartung HD, Olson TS, Bessler M
Pediatr Clin North Am 2013 Dec;60(6):1311-36. Epub 2013 Oct 16 doi: 10.1016/j.pcl.2013.08.011. PMID: 24237973Free PMC Article
Scheinberg P, Nunez O, Weinstein B, Scheinberg P, Biancotto A, Wu CO, Young NS
N Engl J Med 2011 Aug 4;365(5):430-8. doi: 10.1056/NEJMoa1103975. PMID: 21812672Free PMC Article

Clinical prediction guides

Risitano AM, Frieri C, Urciuoli E, Marano L
Immunol Rev 2023 Jan;313(1):262-278. Epub 2022 Sep 15 doi: 10.1111/imr.13137. PMID: 36110036Free PMC Article
McReynolds LJ, Rafati M, Wang Y, Ballew BJ, Kim J, Williams VV, Zhou W, Hendricks RM, Dagnall C, Freedman ND, Carter B, Strollo S, Hicks B, Zhu B, Jones K, Paczesny S, Marsh SGE, Spellman SR, He M, Wang T, Lee SJ, Savage SA, Gadalla SM
Blood 2022 Aug 25;140(8):909-921. doi: 10.1182/blood.2022016508. PMID: 35776903Free PMC Article
Patel BA, Groarke EM, Lotter J, Shalhoub R, Gutierrez-Rodrigues F, Rios O, Quinones Raffo D, Wu CO, Young NS
Blood 2022 Jan 6;139(1):34-43. doi: 10.1182/blood.2021012130. PMID: 34525188Free PMC Article
Locatelli F, Strahm B
Blood 2018 Mar 29;131(13):1406-1414. Epub 2018 Feb 8 doi: 10.1182/blood-2017-09-765214. PMID: 29438960
Bacigalupo A
Blood 2017 Mar 16;129(11):1428-1436. Epub 2017 Jan 17 doi: 10.1182/blood-2016-08-693481. PMID: 28096088

Recent systematic reviews

Zhang Y, Li J, Li X, Geng Q, Xie Y, Zhang G, Wei M, Ma Y
Syst Rev 2024 Apr 4;13(1):101. doi: 10.1186/s13643-024-02515-2. PMID: 38576005Free PMC Article
Alotaibi H, Aljurf M, de Latour R, Alfayez M, Bacigalupo A, Fakih RE, Schrezenmeier H, Ahmed SO, Gluckman E, Iqbal S, Höchsmann B, Halkes C, de la Fuente J, Alshehry N, Cesaro S, Passweg J, Dufour C, Risitano AM, DiPersio J, Motabi I
Transplant Cell Ther 2022 Feb;28(2):105.e1-105.e7. Epub 2021 Oct 11 doi: 10.1016/j.jtct.2021.10.006. PMID: 34649020
ElGohary G, El Fakih R, de Latour R, Risitano A, Marsh J, Schrezenmeier H, Gluckman E, Höchsmann B, Pierri F, Halkes C, Alzahrani H, De la Fuente J, Cesaro S, Alahmari A, Ahmed SO, Passweg J, Dufour C, Bacigalupo A, Aljurf M
Bone Marrow Transplant 2020 Oct;55(10):1906-1917. Epub 2020 Apr 28 doi: 10.1038/s41409-020-0897-2. PMID: 32346079
Peinemann F, Grouven U, Kröger N, Pittler M, Zschorlich B, Lange S
Haematologica 2009 Dec;94(12):1732-42. Epub 2009 Jul 31 doi: 10.3324/haematol.2009.007583. PMID: 19648165Free PMC Article
Gafter-Gvili A, Ram R, Gurion R, Paul M, Yeshurun M, Raanani P, Shpilberg O
Acta Haematol 2008;120(4):237-43. Epub 2009 Feb 25 doi: 10.1159/000203403. PMID: 19246887

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