Source:http://linkedlifedata.com/resource/pubmed/id/19120370
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2009-3-5
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pubmed:abstractText |
Both the 2001 World Health Organisation (WHO) classification of haematopoietic neoplasms and the 2008 WHO classification revision include a distinctive diagnostic category, refractory anaemia with ring sideroblasts and thrombocytosis (RARS-T), to describe those rare patients who have both >or=15% ring sideroblasts and a sustained elevated platelet count. Recently, it has become clear that patients meeting WHO criteria for RARS-T have clonal JAK2(V617F) and MPL(W515) mutations at a similar rate to essential thrombocythaemia (ET). Given that the provisional classification of RARS-T as a myelodysplastic syndrome/myeloproliferative neoplasm (MDS/MPN) overlap syndrome, rather than as a form of MPN (i.e., ET), rests principally upon the presence of ring sideroblasts, which are a non-specific morphological finding, these new molecular results prompt reconsideration of the necessity for a distinctive RARS-T category. Here we review the historical developments that led up the definition of RARS-T as a disease entity, and we discuss conceptual understanding of RARS-T and arguments against continued use of RARS-T as a separate diagnostic category.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
1365-2141
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
144
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
809-17
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:19120370-Anemia, Refractory,
pubmed-meshheading:19120370-Diagnosis, Differential,
pubmed-meshheading:19120370-Humans,
pubmed-meshheading:19120370-Janus Kinase 2,
pubmed-meshheading:19120370-Mutation,
pubmed-meshheading:19120370-Thrombocythemia, Essential,
pubmed-meshheading:19120370-Thrombopoietin,
pubmed-meshheading:19120370-World Health Organization
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pubmed:year |
2009
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pubmed:articleTitle |
Is refractory anaemia with ring sideroblasts and thrombocytosis (RARS-T) a necessary or useful diagnostic category?
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pubmed:affiliation |
Oxford Haemophilia and Thrombosis Centre, Churchill Hospital, University of Oxford, Oxford, UK.
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pubmed:publicationType |
Journal Article,
Review
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