Article
Bone marrow failure syndromes: paroxysmal nocturnal hemoglobinuria.
Hematology/oncology clinics of North America - 1 Apr 2009
Parker Charles J
Abstract excerpt
This article discusses the etiology of paroxysmal nocturnal hemoglobinuria (PNH) and its relationship to marrow hyperplasia. The author posits that the defining clinical pathology of PNH (ie, complementmediated intravascular hemolysis) is an epiphenomenon that is a consequence of an orchestrated response (ie, natural selection of PIGA-mutant stem cells) to a specific type of bone marrow injury (ie, immune...
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