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Hematology

Hematology is the study of blood, blood diseases and blood-forming organs.

Hematology includes the treatment of blood disorders and malignancies like hemophilia, lymphoma, leukemia, and sickle-cell anemia. Hematology is a branch of internal medicine which deals with the pathology, etiology, physiology, diagnosis, treatment of blood-related disorders.

Hematologists focus on bone marrow and lymphatic organs and diagnose blood count irregularities or platelet irregularities. Hematologists treat organs which are related to blood cells and includes the lymph nodes, spleen, thymus and lymphoid tissue.

Hematologic disorders primarily affect the blood & blood-forming organs. These disorders include rare genetic disorders, anemia, HIV, sickle cell disease & sometimes complications from chemotherapy or transfusions.

These disorders are categorized below:

Myeloid

Sickle cell disease

Thalassemia

Methemoglobinemia

Anemias (In this there is lack of red blood cells or hemoglobin)

Iron-deficiency anemia

Megaloblastic anemia

Vitamin B12 deficiency

Pernicious anemia

Folate deficiency

Cold autoimmune hemolytic anemia

Cold agglutinin disease

Paroxysmal cold hemoglobinuria (rare)

Infectious mononucleosis

Alloimmune hemolytic anemia

Hemolytic disease of the newborn (HDN)

Rh disease (Rh D)

ABO hemolytic disease of the newborn

Anti-Kell hemolytic disease of the newborn

Rhesus c hemolytic disease of the newborn

Rhesus E hemolytic disease of the newborn

Drug induced immune mediated hemolytic anemia

Penicillin (high dose)

Methyldopa

Hemoglobinopathies

Paroxysmal nocturnal hemoglobinuria

Direct physical damage to RBCs

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’s thrombasthenia

Burkitt’s lymphoma

Anaplastic large cell lymphoma

Splenic marginal zone lymphoma

Aggressive NK-cell leukemia

Hemoglobinopathies (this is a congenital abnormality of the hemoglobin or the rate of hemoglobin synthesis)

Heparin-induced thrombocytopenia (HIT)

Myeloproliferative disorders (Increased numbers of cells)

Polycythemia vera

Erythrocytosis

Leukocytosis

Thrombocytosis

Myeloproliferative disorder

Transient myeloproliferative disease

Coagulopathies (disorders of bleeding and coagulation)

Thrombocytosis

Hemolytic anemias (destruction of red blood cells)

Genetic disorders of RBC membrane

Hereditary spherocytosis

Hereditary elliptocytosis

Congenital dyserythropoietic anemia

Genetic disorders of RBC metabolism

Glucose-6-phosphate dehydrogenase deficiency (G6PD)

Pyruvate kinase deficiency

Immune mediated hemolytic anemia

Autoimmune hemolytic anemia

Warm antibody autoimmune hemolytic anemia

Idiopathic

Systemic lupus erythematosus (SLE)

Evans syndrome (antiplatelet antibodies and hemolytic antibodies)

Hepatosplenic T-cell lymphoma

Angioimmunoblastic T-cell lymphoma (AILT)

Myelomas

Multiple myeloma

Waldenström macroglobulinemia

Thrombocytopenia (decrease in the number of platelets)

Idiopathic thrombocytopenic purpura (ITP)

Thrombotic thrombocytopenic purpura (TTP)

Antiphospholipid syndrome

Disorders of platelets

Thrombocytopenia

Glanzmann’s thrombasthenia

Wiskott–Aldrich syndrome

Hematological malignancies

Lymphomas

Recurrent thrombosis

Disseminated intravascular coagulation

Disorders of clotting proteins

Hemophilia

Hemophilia A

Hemophilia B (also known as Christmas disease)

Hemophilia C

Von Willebrand disease

Disseminated intravascular coagulation

Protein S deficiency

Hodgkin’s disease

Non-Hodgkin’s lymphoma

Plasmacytoma

Leukemias increased WBC

Acute lymphocytic leukemia (ALL)

Chronic lymphocytic leukemia

Acute myelogenous leukemia (AML)

Acute megakaryoblastic leukemia (AMKL), a sub-type of acute myelogenous leukemia

Chronic Idiopathic Myelofibrosis (MF)

Chronic myelogenous leukemia (CML)

T-cell prolymphocytic leukemia (T-PLL)

B-cell prolymphocytic leukemia (B-PLL)

Chronic neutrophilic leukemia (CNL)

Hairy cell leukemia (HCL)

T-cell large granular lymphocyte leukemia (T-LGL)

Miscellaneous

Hemochromatosis

Asplenia

Hypersplenism

Gaucher’s disease

Monoclonal gammopathy of undetermined significance

Hemophagocytic lymphohistiocytosis

Tempi syndrome

Hematological changes secondary to non-hematological disorders

Anemia of chronic disease

Infectious mononucleosis

AIDS

Malaria

Leishmaniasis

Bone marrow transplant

A bone marrow transplant may be a procedure that infuses healthy blood-forming stem cells into your body to exchange your damaged or diseased bone marrow. A bone marrow transplant is additionally called a somatic cell transplant.

You might need a bone marrow transplant if your bone marrow stops working and doesn’t produce enough healthy blood cells.

Bone marrow transplants uses cells from their own body which is also called autologous transplant or if in case from a donor is called allogeneic transplant.

A bone marrow transplant could also be used to:

To treat safely in the condition with high doses of chemotherapy and the radiation therapy by replacing/rescuing the bone marrow damaged by treatment

To replace the damaged bone marrow with new stem cell

Provide new stem cells, which may help kill cancer cells directly.Bone marrow transplants can benefit people with a spread of both cancerous (malignant) and non-cancerous (benign) diseases, including:

leukemia

Adrenoleukodystrophy

Aplastic anaemia

Bone marrow failure syndromes

leukemia

Hemoglobinopathies

Hodgkin’s lymphoma

Immune deficiencies

Inborn errors of metabolism

Myeloma

Myelodysplastic syndromes

Neuroblastoma

Non-Hodgkin’s lymphoma

Plasmacyte disorders

POEMS syndrome

Primary amyloidosis

A bone marrow transplant poses numerous risks. In this people can experience minimum type of the problems with a bone marrow transplant, while in others can have serious complications that need treatment or hospitalization. Sometimes, complications are life-threatening.

Your particular risks depend upon many factors, including the disease or condition that caused you to wish a transplant, the sort of transplant, and your age and overall health. Possible complications from a bone marrow transplant include:

Graft-versus-host disease (allogeneic transplant only)

somatic cell (graft) failure

Organ damage

Infections

Cataracts

Infertility

New cancers

Death