Management of thrombosis in paroxysmal nocturnal hemoglobinuria: a clinician's guide
- PMID: 28246555
- PMCID: PMC5305005
- DOI: 10.1177/2040620716681748
Management of thrombosis in paroxysmal nocturnal hemoglobinuria: a clinician's guide
Abstract
Paroxysmal nocturnal haemoglobinuria (PNH), an ultra-orphan disease with a prevalence of 15.9 per million in Europe, is a life-threatening disorder, characterized by haemolysis, bone marrow failure and thrombosis. Patients with PNH prior to the availability of eculizumab had a median survival of between 10 and 22 years, with thrombosis accounting for 22-67% of deaths. 29-44% of patients had at least one thrombosis. This paper provides a clinician's guide to the diagnosis, management and complications of PNH, with an emphasis on thrombosis.
Keywords: haemoglobinuria; haemolytic anaemia; paroxysmal nocturnal; thrombosis; ultra-orphan disease.
Conflict of interest statement
Conflict of interest statement: Dr Griffin has received honoraria, travel and accommodation support from Alexion Pharmaceuticals. Dr Munir has received honoraria, and travel/accommodation support from Alexion Pharmaceuticals
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