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12/23/25

 


(1BC and iron studies

• severe microcytic anemia (Hb <60 g/L)

• peripheral blood film:teardrop,target, hypochromic,microcytic

• Hb electrophoresis

• HbA:0-10% (normal >95%)

• HbA 2 >2.5%

• HbT: 90-100%

Treatment

• lifelong regular transfusions to suppress endogenous erythropoiesis

• iron chelation (e.g. deferoxamine, deferasirox, and deferiprone) to prevent iron overload in organs and

the formation of free radicals(which promote tissue damage and fibrosis)

• folic acid supplementation if not transfused

• allogeneic BM transplantation (potentially curative) or cord blood transplant

• gene therapy (to encode adult Hb A) or CRISPR-Cas 9 gene editing (to allow for increased fetal Hb

production) understudy

• splenectomy (now performed less frequently)

Hemochromatosis

m

Clinical Features

ABCDH

Arthralgia

Bronte skin

Cardiomyopathy.Cirrhosis ol liver

Diabetes(pancreatic damage)

Hypogonadism (anterior pituitary

damage)

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H21 Hematology Toronto Notes 2023

p-Thalassemia Intermedia

Definition

• clinical diagnosis in patients whose clinical manifestations are too mild to be classified as

P-thalassemia major, but too severe to be classified as p-thalassemia minor

Clinical Features

• wide variety of clinical phenotypes

• in most cases of p-thalassemia intermedia, both P-globin genes affected

• three main mechanisms account for the milder phenotype compared to p-thalassemia major:(1)

subnormal (vs. absent) p-chain synthesis,(2) increased number of y chains, and (3) coinheritance of

a-thalassemia (in some cases)

• complications more commonly seen in p-thalassemia intermedia than p-thalassemia major include

extramedullary hematopoiesis, leg ulcers,gallstones, thrombosis, pulmonary hypertension, and

growth retardation

Treatment

• most patients only require periodic transfusions, although regular transfusions may eventually be

necessary in adulthood (third to fourth decade of life)

• folic acid supplementation if not transfused

• iron chelation therapy is required since iron overload develops due to ineffective erythropoiesis and

subsequent hepcidin downregulation

a-Thalassemia

Definition

• defect(s) in a genes

• similar geographic distribution as P-thalassemia, but higher frequency among Asians and Africans

Clinical Features

• I defective a gene (aa /a-): clinically silent; normal Hb, normal MCV

• 2 defective a genes (cis: aa/-- or trans:a-/a-): normal Hb, decreased MCV

• N.B. cis 2-gene deletion more common in Asia vs. trans 2-gene deletion more common in Africa -

thisleads to increased risk of fetal hydrops in offspring of patients from Asia vs. Africa

• 3 defective a genes (a-/--): HbH (

P4 ) disease; presents in adults, decreased Hb, decreased MCV, and

splenomegaly

• 4 defective a genes (—/—):Hb Barts (y4) disease (hydrops fetalis); usually incompatible with life

Investigations

• CBC and iron studies (for iron overload)

• peripheral blond film -screen for HbH inclusion bodies with supravital stain

• Hb electrophoresis can be used to identify HbH disease, but may miss I - or 2-gene deletions;definitive

diagnosis with UNA genotyping

Treatment

• referral for genetic/prenatal counselling

• depends on degree of anemia

1 or 2 defective a genes: no treatment required

• HbH disease:similar to p-thalassemia intermedia

Hb Barts: no definitive treatment - majority of pregnancies terminated (fetal/maternal mortality

risk), intrauterine transfusion,stem cell transplants ^

Blood flow

slows I

t blood Sickle Cell Disease viscosity ipO,

Distortedt

RBC 1

sickle cells

Definition

• autosomal recessive sickling disorders are most commonly caused by a Glu -> Valsubstitution at

position 6 of the p-globin chain (chromosome 11) resulting in HbS variant, rather than HbA (normal

adult Hb)

increased incidence of HbS allele in patients with Sub-Saharan African, Indian, Middle liastern,

or Mediterranean heritage (thought to be protective against malaria)

• SCO occurs when an individual has two HbS genes (homozygous, HbSS) or one HbS gene * another

mutant P-globin gene (compound heterozygote)

- most commonly HbS-P-thal and HbSC disease

Pathophysiology

• at low pO’

, deoxyHbS polymerizesleading to rigid crystal-like rods that distort membranes-> ‘sickles’

• the pO:level at which sickling occurs is related to the percentage of HbS present

• sickling is aggravated by acidemia,increased C02, increased 2,3-DPG, fever, and increased osmolality

• fragile sickle cells then cause injury in two main ways

1. fragile sickle cells hemolyze (nitric oxide depletion)

2. occlusion of small vessels (hypoxia, ischemia-reperfusion injury)

Deoxy HbS

T H'

1*

CO,

HbS '

polymers

Impaction

Infarction

Figure 8. Pathophysiology of sickling

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• Functional Asplenism:increased

susceptibility to infection by

encapsulated organisms

• S. pneumoniae

. N. meningitidis

• H. influemae

• Salmonella (osteomyelitis)

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H22 Hematology Toronto Notes 2023

$

Clinical Features

• sickle cell trait (HbAS): patient will be asymptomatic except during extreme hypoxia or infection

increased risk of renal medullary carcinoma

. SCD-SS (HbSS)

chronic hemolytic anemia

« jaundice in the first year of life

retarded growth and development ± skeletal changes

splenomegaly in childhood;splenic atrophy in adulthood

• SCD-SS often presents with acute pain episode

1. aplastic crises

toxins and infections (especially parvovirus B19) transiently suppress B\1

2.splenic sequestration crises

usually in children;significant pooling of blood in spleen resulting in acute Hb drop and

shock

uncommon in adults due to asplenia from repeated infarction

3. vaso-occlusive crises(infarction)

may affect various organs causing ischemia-reperfusion injury (especially in back, chest,

abdomen, and extremities),fever,and leukocytosis

can cause a stroke or a silent M1

precipitated by infections, dehydration,rapid change in temperature, pregnancy, menses, and

alcohol

4. acute chest syndrome

acute illness characterized by fever and/or respiratory symptoms

new pulmonary infiltrate on chest x-ray

precipitated by pulmonary infection, fat embolism, and pulmonary infarction

• SCD-SC (HbSC): most common compound heterozygote

I in 833 live births in African-Americans, common in West Africa

milder anemia than HbSS

similar complications as HbSS but typically milder and less frequent (exception is proliferative

sickle cell retinopathy,glomerulonephritis, and avascular necrosis)

spleen not always atrophic in adults

Investigations

• sickle cell prep (detects sickling of RBCs under the microscope in response to 0:lowering agent):

determines the presence of a HbS allele, but does not distinguish HbAS from HbSS

• Hb electrophoresis distinguishes HbAS, HbSS, HbSC, and other variants

• all newbornsin developed countries typically screened for SCD

Organs Affected by Vaso-Ocdusive

Crisis

Organ Problem

Brain Ischemic or hemorrhagic

stroke, vascnlopathy

Hemorrhage, blindness

Infarcts.DUO syndrome

Acute chestsyndrome,longterm pulmonary hypertension

Eye

liver

Lung

Gallbladder Slones

Heart Hyperdynamic How murmurs

Spleen Enlarged (child):atrophic

[adult]

Kidney Hematuria, loss of renal

concentrating abiity.

proteinuria

Intestines Acute abdomen

Placenta Stillbirths

Penis Priapism

Digits Dactylitis

Bone Infarction, inlection,avascular

necrosis (femoral and humeral

head)

Skin leg ulcers(ankle)

Table 13, Investigations for Sickle Cell Disease

HbAS HbSS

Increased reticulocytes, decreased Hb,and

decreased Hct

Sickled cells

No HbA, only HbS and HbF (proportions change

with age); normal amount of HbA 2

CBC Normal

Peripheral Blood

Hb Electrophoresis

Normal; possibly a few target cells

HbA fraction of 0.6S|6S%)

HbS lraction ol 0.35 (35%|

Treatment

• genetic counselling

• HbAS: no treatment required

• HbSC:treatment as per HbSS, but is dictated by symptom severity

. HbSS

Hydroiyurea (Hydroxycartamide) forSickle

Cell Disease

C ochrane Dd Syst ter 2017:4X0002202

Purpose: Io assessI he effectsol hydroiyurea

therapy in patientsol any age and genotype with

sickle cel disease (SCO).

Study Selection: Randomised andquasirandonised controlled trials >1month comparing

hydroiyurea with placebo,standard therapy or other

interventions.

Results 8RCTswere included. 889 total patients

(bothadoltsand children with SCO).When compared

lo placebo,hydroxyurea was associated with

statisticallysignificant improvements in pain

alteratioo (pain crisisfrequency,duration,intensity,

hospital admissions and opioid use),measures of

fetal hemoglobin and neutrophil coonts and fewer

occurrences of acute chestsymdroene and blood

transfusions. Differences in quality ol life and adverse

events(including serious or life-threatening events)

were not statistically significant.

Conclusion:Ev, fence suggeststhat hydroxyurea can

effectively decrease the frequency nf pain episodes

and other acute complications m patients with SCD.

However, data on the long-term henetts and risks ol

hydroxyurea isstill Insufficient.

1. folic add to prevent folate deficiency

2. hydroxyurea to enhance production of Hbl;

mechanism of action:stops repression of Hb-y chains and/or initiates differentiation of stem

cells expressing this gene

presence of HbF in the sickle cell RBCs decreases polymerization and precipitation of HbS

short term harms(within 6 mo):dose-related leukopenia, thrombocytopenia, anemia, and

decreased reticulocyte count; decreased sperm production, mucositis,skin ulcers

long-term harms: birth defects in offspring of people receiving the drug, growth delays in

children receiving the drug, and cancer in both children and adults who receive the drug

3. treatment of vaso-occlusive crisis

supportive care:oxygen,hydration (reduces viscosity),correct acidosis, analgesics/opiates

indication for exchange transfusion:Hb <50-60 g/L, SCD complications (acute chest

syndrome, aplastic crisis, hepatic or splenic sequestration, and stroke), prevention of

complications, preoperative

less routinely:antimicrobialsfor suspected infection

4.prevention of crises

establish diagnosis

avoid conditions that promote sickling (hypoxia, acidosis,dehydration,and fever)

vaccination in childhood (S, pneumoniae, N. meningitidis,and H. influenzae type b)

prophylactic penicillin (age 3 mo-5 yr)

good hygiene, nutrition, and social support

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H23 Hematology Toronto Notes 2023

5.screen for complications

regular blood work (CBC, reticulocytes, iron indices, BUN, LFTs, and creatinine)

urinalysis annually (proteinuria and glomerulopathy)

transcranial doppler annually until 16 yr (stroke prevention)

retinal examinations annually from 8 yr (screen for retinopathy)

echocardiography once in late childhood/earlv adulthood (screen for pulmonary

hypertension)

6. future therapies

gene therapy

voxelotor

crizanlizumab

Stroke WilliTransfusions (hanging to

Hydroxyurea (SWiTCH)

Bood 2012;119:3925-32

Purpose: Tocompare standard treatment

(transfrrsionsfchelation)to alternative treatment

(hydroiyureafphlebotomy)lor children withMine tell

anemia (SCA). stroke,and non overload.

Methods:133 pediatric patients were randombedto

(1) continuation of monUtly erythrocyte transfusions

with oral delerasiroi (28.2- 6.0 mgfkgJd) or (2)

initiation on hydroxyurea (20 mgikgfd escalated

tomanmum tolerateddose (HTD)*26.2 •4.9 mg/

kgd) with discontinuationof transfusions atMID.

and monthly phlebotomy (5-111 ntUkgi'mo|for iron

overload.

Primary Outcome:Secondary stroke recurrence rale

and quantitative liver iron content.

Results: Stroke recurrence rate was significantly

lower in patients on transfusionsldeferasiror

as compared to those initiated on hydroxyurea/

phlebotomy (0% vs.10V P'

0.05).Differences in

Over ironcontent between the two treatmentaims

were not statistically different(16.6 mgfg dry weight

liver intransfusions/deferasirox vs.15.7 mg'g in

hydroiyurea

'

phtebotomy).

Conclusion: Iransfuvo-s and chelation remain

the preferred management strategies lor pediatric

patients with SCA. stroke and ironoverload.

Autoimmune Hemolytic Anemia

Table 14. Classification of AIHA

Warm (75-90% cases) Cold

Ab Allotype IgG IgM

Agglutination Temperature 37°C

Direct Coombs Test

(direct antiglobulin test)

Etiology

4-37

C

Positive lor IgG t complement Positive for complement

Idiopathic

Secondary to lymphoproliferative disorder

(e.g.Cll,Hodgkin lymphoma)

Secondary to autoimmune disease (e.g.Sit)

Pregnancy

Drug-induced (e.g.penicillin,quinine,

methyldopa)

Sphcrocytcs

Treat underlying cause

Folic acid

Corticosteroids (Ist-line)

Folic acid

Rituximab|2nd-line to steroids)

Immunosuppression

Splenectomy

Idiopathic

Secondary to infection

(e.g.mycoplasma pneumonia.F6V. HCV.syphilis)

Secondary to lymphoprohlciatlvc disorder

(e.g.macroglobulinemia.Cll)

BloodFilm

Management

Agglutination

treat underlying cause

Folic acid

Warm patient/avoid cold

Rituximab regimen (Ist-line)

Plasma exchange (2nd-line for high IgM levels)

low dose alkylating agents (chlorambucil,cyclophosphamide)

or interferon maybe useful but less effective

Microangiopathic Hemolytic Anemia/Thrombotic

Microangiopathy

Definition

• hemolytic anemia due to intravascular fragmentation ofRBCs

Etiology

• see '

lhrombotic thrombocytopenic Purpura and Hemolytic Uremic Syndrome, H3I

• see Disseminated Intravascular Coagulation, H34

• eclampsia, HI:LLP syndrome, AI'

LP

• malignant hypertension

• vasculitis

• malfunctioningheart valves

• metastatic carcinoma

• drugs (calcineurin inhibitors,quinine,simvastatin)

• infections (severe CMV or meningococcus)

• catastrophic APS

Investigations

• blood film:schistocytes

• hemolytic workup (CBC, reticulocyte count, LDH, haptoglobin, indirect bilirubin)

• Coombs test: negative

• urine: hemosiderinuria, hemoglobinuria

Schistocyte

Vessel

wall

6

o

6

o

8

r <o .

.1 Thrombus §

a

R&C

r “v Figure 9. Schistocytosis L.J

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H24 Hematology Toronto Notes 2023

Hereditary Spherocytosis

Definition/Etiology

• most common type of hereditary hemolytic anemia

t abnormality in KBC membrane proteins (c.g.spectrin)

• autosomal dominant (variable penetrance), can also be autosomal recessive or de novo

• presents with hemolytic anemia, jaundice,splenomegaly

Investigations

• CBC and differential blood film (showsspherocytes)

• KBC dehydration and membrane loss result in elevated MCHC

• osmotic fragility (increased)

• molecular analysis for spectrin gene

• ultrasound (splenomegaly and gallstones(pigment))

Treatment

• genetic counselling

• in severe cases,splenectomy and vaccination against S. pneumoniae, N.meningitidis,and H.

influenzae type b (avoid splenectomy in early childhood)

Macrophao .

Hereditary Elliptocytosis Spherocytc ©

Figure 10. Spherocytosis secondary

toAIHA Definition/Etiology

• abnormal interactions between spectrin and other membrane proteins

• autosomal dominant

• 25-75% elliptocytes

• hemolysis is usually mild

Treatment

• genetic counselling

• ifsevere hemolysis:splenectomy, folate supplementation, and immunization

Glucose-6-Phosphate Dehydrogenase Deficiency

Definition/Etiology

• deficiency in G6PD leads to a lack of reduced glutathione and increased KBC sensitivity to oxidative

stress

• X-linked recessive, prevalent in individuals of African,Asian,and Mediterranean descent

Clinical Features

• frequently presents as episodic hemolysis precipitated by:

oxidative stress

• drugs (e.g.sulfonamide,antimalarials,and nitrofurantoin)

infection

food (fava beans)

• in neonates:can present as prolonged, pathologic neonatal jaundice

Investigations

• neonatal screening

• G6PD assay (may not be useful if result is normal)

should not be done in acute crisis when reticulocyte count is high (reticulocytes have high G6PD

levels)

• blood film

Heinz bodies

bite cells (consistent with oxidative hemolysis; generated by passage through spleen)

Treatment

• genetic and prenatal counselling

• folic acid

• stop offending drugs and avoid triggers

• transfusion in severe cases

to; HiO

J-2GSH GSSG

Glucose NADP- NADPH l

Pentose Phosphate

Lactate

Figure 11. G6PDdeficiency

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H25 Hematology Toronto Notes 2023

Macrocytic Anemia

. MCV >100 fL

• see l

-

'

igure 2, H6

Causes of Macrocytic Anemia Table 15. Comparison Between Megaloblastic and Non-Megaloblastic Macrocytic Anemia

Megaloblastic A8CDEF

Alcoholism (liver disease)

B'

jdeficiency

Compensatory reticulocytosis

Drugs (cytotoxic, azidothymidine)/

Dysplasia

Endocrine (hypothyroidism)

Folate deficiency/Fetus (pregnancy)

Non-Megaloblastic

Laige.oval, nucleated IIBC precursor

Hypetsegmenled neutrophils

Failure of DMAsynthesis resulting in asynchronous

maturation of R8C nucleus and cytoplasm

large round RBC

Normal neutrophils

Reflects membrane abnormality with abnormal cholesterol

metabolism

Morphology

Pathophysiology

Note:MDS is a non.megaloblastic macrocytic anemia Dial commonly presents with oval macrocytosls

Vitamin B12 Deficiency

Characteristics of Megaloblastic

Macrocytic Anemia

• Pancytopenia

• Hypersegmented neutrophils

• Megaloblastic BM

•B12 (cobalamin)

•binds to intrinsic factor (IF) secreted by gastric parietal cells

•absorbed in terminal ileum

•total body stores sufficient for 3-4 yr

Etiology

Table 16. Etiology of Vitamin B12 Deficiency

Diet Gastric Intestinal Absorption Genetic

Strict vegan

More likely to present in

paediatric population

Vegetarian in pregnancy

Malnutrition

Malabsorption

Crohn's, celiac disease,pancreatic

insufficiency.H.pylori

Stagnant bowel

Blind loop,stricture

Fish tapeworm

Resection of ileum

Drugs

Neomycin, biguanides. proton pump inhibitors.

It 0 anesthesia, metlormin

Iranscobalamin II deficiency

IF receptor defect

Mucosal atrophy

Gastritis, autoimmune

Pernicious anemia (see

below)

Postgastrectomy

Pathophysiology of Pernicious Anemia

• auto-Abs produced against gastric parietal cells leading to achlorhydria and lack of IF secretion

• IF is required to stabilize Bi

as it passes through the bowel

• decreased IF leads to decreased ileal absorption of B12

• may be associated with other autoimmune disorders ( polyglandular endocrine insufficiency)

• most common in Northern European White populations, usually >30 yr (median age of 60 yr)

Clinical Features

• neurological (severity of anemia and neurological sequelae depends on deficiency)

peripheral neuropathy (variable reversibility)

usually symmetrical, afi'

ccting lower limbs more than upper limbs

spinal cord (irreversible damage)

subacute combined degeneration

posterior columns:decreased vibration sense, proprioception, 2-point discrimination, and

paresthesia

pyramidal tracts:spastic weakness, ataxia

• cerebral (common, reversible with Bi > therapy)

confusion, delirium, and dementia

• cranial nerves (rare)

optic atrophy

Investigations

• CBC, reticulocyte count

anemia often severe ± neutropenia ± thrombocytopenia

• MCV >110 fL

• low reticulocyte count relative to the degree of anemia (<2%)

• serum B12 and RBC folate

caution:lower serum Bi

leads to low RBC folate; absence of Bi

results in folate polyglutamate

synthesis failure

• alternatively, can measure elevated urine metabolites (methylmalonatc, homocysteine)

• blood film

oval macrocytes, hypersegmented neutrophils

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H26 Hematology Toronto Notes 2023

•BM

• hypercellularity

nuclear-cytoplasmic asynchrony in RBC precursors(less mature nuclei than expected from the

development of the cytoplasm)

•bilirubin and LDH

• elevated unconjugated bilirubin and LDH due to breakdown of cells in BM

•Schilling test (radiolabeled B12 test,rarely done) to distinguish pernicious anemia from other causes

(e.g. anti

-IT antibody, anti

-parietal cell antibody)

Treatment

•treatment dose = vitamin B12 1000 pg1M weekly or 1000-1200 pg PO once daily if intestinal

absorption intact;route and duration depends on cause

•maintenance dose (once replete) = vitamin B 12 1000 pg1M monthly or 1000 pg PO once daily

•watch for hypokalemia and rebound thrombocytosis when treating severe megaloblastic anemia

Folate Deficiency

• uncommon in developed countries due to extensive dietary supplementation (enriched in flour)

• folate stores are depleted in 3-6 mo

• folate commonly found in green, leafy vegetables, and fortified cereals

• maternal folate deficiency is associated with fetal neural tube defects

Etiology

Table 17. Etiology of Folate Deficiency

Diet/Deficiency Malabsorption Drugs Increased Demand

Alcohol use disorder

Substance misuse

Elderly/infants

Poor intake

Celiac disease Antifolate (methotrexate)

Anticonvulsants (phenytoin)

Alcohol

Oral contraceptive

Pregnancy

Hemolysis

Prematurity

Exfoliative dermatitis/psoriasis

Hemodialysis

IBD

Short bowel syndrome

Clinical Features

• anemia, mild jaundice, glossitis, diarrhea, confusion, pallor

• consider social history, alcohol use disorder/substance misuse, very poor diet (e.g. elderly, depressed)

Investigations

• similar to B12 deficiency (CBC,reticulocytes, blood film, RBC folate, and serum B12)

• if decreased RBC folate,rule out B12 deficiency as cause

Management

• folic acid 1-5 mg PO once daily x 1-4 mo; then 1 mg PO once daily maintenance if cause is not

reversible

Never give folate alone to an individual

with megaloblastic anemia because it

will mask B2 deficiency and neurological

degeneration will continue

Hemostasis

Stages of Hemostasis

1. Primary Hemostasis

• cellular defense -involves the platelet and VWI;

predominantly

• goal is rapid cessation of bleeding; main effect is on mucocutaneous bleeding

• vessel injury results in collagen/subendothelial matrix exposure

• blood flow is impeded and platelets come into contact with damaged vessel wall ( figure 12a, H27)

« adhesion:platelets adhere to subendothelium via VWT

• activation:platelets are activated resulting in integrin activation,shape change, and granule

release

• aggregation:activated GPlIbllla on platelets bindssoluble ligands, which results in aggregation

and the formation of a localized platelet plug

2. Secondary Hemostasis

• platelet plug is reinforced by production of a fibrin clot ( figure 12b, H27 )

• extrinsic (initiation) pathway:initiation of secondary hemostasis

• intrinsic (amplification) pathway: amplification once secondary hemostasis hasstarted via positive

feedback

• both the intrinsic and extrinsic pathways converge onto the common pathway, which results in

thrombin generation and fibrin formation

Phases of Hemostasis

• Primary Hemostasis

Vascular response and platelet plug

formation via VWF

• Secondary Hemostasis

Fibrin clot formation

• Fibrin Stabilization

Fibrinolysis

and release of vasoconstrictors

C ]

Check out this educational module

created bySt. Michael'

s Hospital

residents and hematology faculty:www.

coagtesting.com

+ 3. Fibrin Stabilization

• conversion from a soluble to an insoluble, cross-linked clot

4. Fibrinolysis

• once healing isinitiated, clot dissolution is mediated by the fibrinolytic system

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H27 Hematology Toronto Notes 2023

INACTIVE ACTIVE EXTRINSIC PATHWAY INTRINSIC PATHWAY

HMWK 5

J5

Tissue Damage

- XII Xlla Antithrombin (AT) Aspirin

Clopidogrel

Ticlopidine

GPIIb/llla inhibitors

Dipyridamole

IHMWK

XI —i

— Xla

:

-

Tissue Factor O- H

1

ICa *

— IX 1 .IXa — - <s>- H

s

I Fondaparinux

LMWH

| R

'

rvaroxaban

rO- -VII -

Ls

-Vila <0

CN I

-

f

lla VIII Ilia r. o

I

i i

$

COMMON x

PATHWAY t

pO— '

Xa ®- +

BLOODVESSEL

LUMEN OF J— — thromiomodulin V

Protein C

I

Dabigatran

APC

ProteinS

I

I lla — —©

j

I

i

i (Prothrombin) (Thrombin)

l

J

h®~

Fibnnogen

Plasmin

tPA /SK/UK EXPOSED COLLAGEN FIBRESIN SUBENDOTHELIUM Warfarin Plasminogen

Tenecteplase -

J

CrosslinkedFribrin Clot

HMWK'

highmolecular

weight kininogen

PK-prekalikrein

PL -phospholipid

APC - activated protein C

tPA-tissue plasminogen activator

SK - streptokinase

UK ^ urokinase

FDPs -fibrinlogen) degradation

products

LMWH -lowmolecular weightheparin

UFH -unfractionatedheparin

inhibits

a - activated

& von Willebrand factor|VWF) fibrinogen

GPIb-binding domain of VWF m inactivatid Gp||b/llla u

. M activated GPIIWIIIa » inhibition

Figure 12a. Platelet activation Figure 12b. Coagulation cascade

Table 18, Commonly Used Tests of Hemostasis Tests of Secondary Hemostasis

Type of

Hemostasis

Test Typical

Reference

Range (lab

dependent)

Purpose Examples of Associated Diagnoses

PT/INR:Tennis is played outside

(Extrinsic pathway)

PTT:Table Tennis is played Inside

(Intrinsic pathway)

Platelet count 130-400 x 10®

/L To quantitate platelet number

28- 38 s

Primary Low in IIP,HUS/TTP.DIC,HIT

Secondary PH Measures intrinsic pathway (factors VIII, Prolonged in hemophilia A and 8 (if factor

IX.XI.XII) and common pathway deficiency is below reagent threshold ol

Used tomonitor heparin and argaltoban detection)

therapy N.6.Prolonged if lupus anticoagulant

present

PI 10 -13 s Measures extrinsic pathway {factor Vll|

and common pathway

Prolonged in vitamin K deficiency, vitamin

K antagonist therapy (warfarin),factor VII

deficiency

INK 0.91.2 Used to monitor warfarin therapy and lor

assessment of hepatic Inaction

Mixing studies Normalization of coagulation time if

coagulation lactor(s) from a deficiency in deficiency of single coagulation (actor

(normalization maynol occur it multiple

Mix patient's plasma with normal plasma coagulation factors are deficient)

in1:1ratio and repeat abnormal test Lack of normalization if inhibitor present

Looks for accelerated fibrinolysis May be shortened (increased fibrinolysis)

in QIC or factor XIII deficiency

May differentiate inhibitors of

coagulation factors

Figure 13. Coagulation factors

involved in PT and PTT

Fibrinolysis Euglobulin lysis N ’

90 mm

lime

Other Fibrinogen

D-dimer

Specific factor assays|o.g.factor VIII)

lupus anticoagulant

von Willebrand tests (VWF antigen. Ristocetin colactor activity,factor VIII)

Causes of a Prolonged PTT without

Bleeding include:

1. Early contact factor (Factor XII.HMWK,

PK) deficiency

2.Lupus anticoagulant

3.Inappropriate blood draw

4.Heparin contamination

5.Erythrocytosis (laboratory artifact)

Note:INR is mathematically derived from PT

Table 19. General Rules of Thumb: Signs and Symptoms of Disorders of Hemostasis

Primary (Platelet, VWF) Secondary (Coagulation)

Surface Cuts

Onset Alter Injury

Site of Bleeding

Excessive,prolonged bleeding

Immediate

Superficial i.e.mucosal (nasal,gingival.Gl

tract, vaginal),skin

Petechiae,ecchymoses

Normal/slightly prolonged bleeding

Delayed

Deep i.e.joints,muscles lexcessive,posttraumatic)

Hemailhroses,hematomas

Consider PTT

• IV heparin,argatroban monitoring

• Hemophilia AJ'B.factor XI deficiency,

severe VWD r -»

Lesions <

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H28 Hematology Toronto Notes 2023

Table 20. Lab Values in Disorders of Hemostasis

PT PTT Platelet Court Hb

Consider PT/INR

• Warfarin

• Liver disease

• Risk factor for vitamin K deficiency

(e.g. malabsorption,cholestasis,

malnutrition)

Hemophilia A/B N K

*

t •

VWD N.

'*

N i H -

DIC t t N / «

Liver Failure N N / 4 '

t N *

IIP N I N

IIP N N »

*

*

anemia may develop from progressiveiron deficiency and/or active bleeding

Consider both PTT and PT/INR

• Suspected DIC

• Trauma patient,or requiring massive

transfusion protocol

• Bleeding patient

• Patient receiving thrombolytic

therapy

Disorders of Primary Hemostasis

Definition

• inability to form an adequate platelet plug due to:

• disorders of blood vessels

disorders of platelets:abnormal function/numbers

disorders of VW1

;

Classification

1‘

Hemostasis Disorders

V '

[PLATELETS ] [ VWD ] [VASCULAR ]

T £ 4

Hereditary

•Osler-Weber-Rendu

* Connective tissue

disorders

Acquired

•Purpura simplex

(easy bruising)

•Senile purpura

•Dysproteinemias

•HSP

•Scurvy

•Cushing's

syndrome

•Inlections

•Drugs

Low platelet count:

• Thrombocytopenia (see H7)

Nonnal platelet count

• Platelet dysfunction

Drugs Commonly Associated with

Thrombocytopenia

Irimethopriraf Heparin NSAIDs

sultanettiorarole

VaiKonpon

Bilanpai

Ettiambclcl

Amphotericin B

i r

Sequestration

• Splenomegaly

Hereditary

* Bernard Soulier

syndrome (GPIb

deticiency)

•Glanrmans

syndrome IGP

llb/llla deficiency)

Acquired

* Drugs (ASA.

EtOH, NSAIDs)

* Uremia/

chronic renal failure

* Myeloprolilerative

disorders

Decreased

production

• Aplastic

anemia

Increased

destruction

•ITP

Digoxin Acetaminophen

Amiodarone Ethanol

Ouinidine H2 antagonists

Ouinine Chemotherapy

(common)

• TTP/HUS

• HIT

HSP - Henoch-Schonlein purpura

Figure 14.Approach to disorders of primary hemostasis

Immune Thrombocytopenia

Table 21. Features for Childhood vs. Adult Immune Thrombocytopenia

Features Childhood ITP (see Paediatrics,P53) Adult ITP

Peak Age 2-6 yr 20- 40 yr

Gender

History of Recent Infection

Duration

Spontaneous Remissions

F-M F»M

Common

Usually wk

80% or more

Rare

Mo to yr

Uncommon

Terminology of ITP

• primary: isolated thrombocytopenia ( platelet count < IOO x I 0

V

/L) with no other cause of

thrombocytopenia

• secondary: thrombocytopenia associated with another condition (e.g. HIV, HCV,SLE, or CLL)

• drug-induced: drug-dependent anti-platelet Abs causing platelet destruction

Classification of Primary ITP

• acute:3 mo from diagnosis

• persistent: 3-12 mo from diagnosis

• chronic: >12 mo from diagnosis

• refractory: post-splenectomy

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H29 Hematology Toronto Notes 2023

Pathophysiology

« primary orsecondary I I P

• an acquired immune-mediated disorder (pathophysiology not completely understood)

increased platelet destruction

anti-platelet Abs bind to platelet surface -> increased splenic clearance

• helper T-cell and cytotoxic T-cell activation

impaired platelet production

Clinical Features

• variable presentation:asymptomatic,fatigue, minimal bruising, mucocutaneous bleed (e.g. purpura,

ecchymoses, petechiae, continuous epistaxis, menorrhagia), and intracranial hemorrhage

• assess for symptoms/signssuggesting a secondary cause

Investigations

• CBC:thrombocytopenia

• PT and P I T: normal

• peripheral blood film:decreased platelets,giant platelets ( rule out platelet clumping)

• H1V.HCV

• H. pylori testing (urea breath test,stool antigen,or endoscopy) vitamin Bn, ANA,C3,C4,APLA,

quantitative immunoglobulins (to rule out underlying immunodeficiency') depending on clinical

symptoms

• blood group RhD typing

• BM aspirate and biopsy:increased number of megakaryocytes

BM aspirate and biopsy should be considered pre-splenectomy or if there is suspicion of

diminished BM function (systemic symptoms,failed traditional1TP and/or abnormal blood film)

Treatment

• rarely indicated if platelets >30 x lO’/L unless active bleeding, trauma,orsurgery

• emergency treatment (active bleeding (CNS, Gl,or GU) or in need of emergency surgery)

general measures:stop drugs that reduce platelet function, control blood pressure,minimize

trauma

corticosteroids:prednisone (0.5-2 mg/kg/d) or dexamethasone (40 mg PO once daily x 4 d)

if corticosteroids contraindicated:IVIg 1 g/kg x I dose, to be repeated if necessary (raises platelet

count faster than corticosteroids)

« IVIg can be used with corticosteroids when a more rapid increase in platelet count isrequired

antifibrinolytic:tranexamic acid (I g PO T1D or 1g1V q8 h) if mucosal bleeding

platelet transfusion:for refractory,major bleeding,or need for urgentsurgery (expect that platelet

recovery will be diminished)

• emergency splenectomy: may be considered, vaccinations prior if possible (.S’, pneumoniae, N.

meningitidis,and H.in fluenzae type b)

management of intracranial bleeding:IV steroids,IVIg, platelet transfusion

• non-urgent treatment (platelet count <20-30 x 109/L and no bleeding)

Ist-line

corticosteroids(dexamethasone 40 mg PO oncedaily x 4 d x 1-4 cycles (not wk) or prednisone

(0.5-2 mg/kg/d) x 2-3wk then slow taper over6 weeks)

IVIg 1 g/kg

anti-D: appropriate for Rh+ non-splenectomized patients, but can cause hemolysis (avoid if

low Hb at baseline or if DAT is positive)

« 2nd-line

splenectomy (need vaccinations prior to splenectomy:5. pneumoniae, N.meningitidis,and H.

influenzae type b) -not preferred if within 12 months from diagnosis

thrombopoietin ( I PO) receptor agonists(romiplostim, eltrombopag) -may not be accessible

assecond line due to funding considerations

rituximab

3rd-line

immunomodulating therapy (azathioprine, cyclophosphamide,danazol, and vincristine)

Syk inhibitors(Fostamatinib) - blocks platelet clearance

Definitions of Response to Treatment

• complete response:platelet count >100 x lO’/L

« partial response: platelet count 30-100 x 10’/L

• no response:platelet count <30 x 109/L

Prognosis

• -20% will not attain a hemostatic platelet count after first and second line therapy

• fluctuating course

• life expectancy similar to general population (however, risk of mortality from bleeding/infection

increases with advancing age)

• major concern isspontaneous intracranial hemorrhage, more common in the elderly

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