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Twin-to-twin transfusion syndrome; Twin-to-twin transfusion syndrome: Specialty: Perinatology, neonatology: Usual onset: Usually weeks 16–25 of gestation: Types: Twin anemia–polycythemia sequence: Treatment: Fetoscopy and laser ablation; serial amniocentesis: Prognosis: 0–20% survival of one or all fetuses without treatment; [1]
Treatments that are temporary include intrauterine blood transfusion of the anemic donor twin or exchange transfusions, which remove blood from the recipient twin and then transfusion of the donor. [8] Treating TAPS with fetal laser coagulation of vascular anastomoses is the only potentially effective modality. [9]
Treatment for polycythemia varies, and typically involves treating its underlying cause. [6] Treatment of primary polycythemia (see polycythemia vera) could involve phlebotomy, antiplatelet therapy to reduce risk of blood clots, and additional cytoreductive therapy to reduce the number of red blood cells produced in the bone marrow. [7]
In oncology, polycythemia vera (PV) is an uncommon myeloproliferative neoplasm in which the bone marrow makes too many red blood cells. [1] The majority of cases [2] are caused by mutations in the JAK2 gene, most commonly resulting in a single amino acid change in its protein product from valine to phenylalanine at position 617.
The treatments for cytopenia vary depending on the type of cytopenia. The treatment for anemia is rest and a diet consisting of high iron foods. Medication can also be used such as: [citation needed] Epoetin alfa, a synthetic erythropoietin that stimulates stem cells to produce red blood cells.
The primary method to treat transfusion-dependent anemia is by transfusing packed red blood cells. [9] Transfusion is also one of the treatment strategies for beta-thalassemia patients and patients with myelodysplastic syndrome (MDS). [13] Although transfusion of red blood cells cannot correct the underlying problems, it can improve anemia ...
Causes for reactive thrombocythemia in children are similar to adults. In addition, hemolytic anemia and thalassemia are often present in children living in the Middle East. Other causes of reactive thrombocythemia include: post surgery, iron deficiency, drugs, and rebound effect after bone marrow suppression. [8]
Microangiopathic hemolytic anemia; Secondary to artificial heart valve(s) Aplastic anemia. Fanconi anemia; Diamond–Blackfan anemia (inherited pure red cell aplasia) Acquired pure red cell aplasia; Decreased numbers of cells. Myelodysplastic syndrome; Myelofibrosis; Neutropenia (decrease in the number of neutrophils) Agranulocytosis; Glanzmann ...
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