Budd-Chiari syndrome in myeloproliferative neoplasms: A review of literature

被引:9
作者
Gaman, Mihnea-Alexandru [1 ,2 ,16 ]
Cozma, Matei-Alexandru [1 ]
Manan, Muhammad Romail [3 ]
Srichawla, Bahadar S. [4 ]
Dhali, Arkadeep [5 ]
Ali, Sajjad [6 ]
Nahian, Ahmed [7 ]
Elton, Andrew C. [8 ]
Kutikuppala, L. V. Simhachalam [9 ]
Suteja, Richard Christian [10 ]
Diebel, Sebastian [11 ]
Gaman, Amelia Maria [12 ,13 ]
Diaconu, Camelia Cristina [14 ,15 ]
机构
[1] Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania
[2] Fundeni Clin Inst, Ctr Hematol & Bone Marrow Transplantat, Dept Hematol, Romani 022328, Romania
[3] Serv Inst Med Sci, Lahore 54660, Pakistan
[4] Univ Massachusetts, Chan Med Sch, Dept Neurol, Worcester, MA 01655 USA
[5] Nottingham Univ Hosp NHS Trust, Dept Internal Med, Nottingham NG7 2UH, England
[6] Ziauddin Univ, Dept Med, Karachi 75600, Pakistan
[7] Calif Baptist Univ, Lake Erie Coll Osteopath Med, Riverside, CA 92504 USA
[8] Univ Minnesota, Med Sch, Minneapolis, MN 55455 USA
[9] Dr NTR Univ Hlth Sci, Dept Gen Surg, Vijayawada 520008, Andhra Prades, India
[10] Udayana Univ Denpasar, Fac Med, Dept Undergrad Med, Bali 80232, Indonesia
[11] Northern Ontario Sch Med Timmins, Dept Family Med, Timmins, ON, Canada
[12] Univ Med & Pharm Craiova, Dept Pathophysiol, Bucharest, Romania
[13] Filantropia City Hosp, Clin Hematol, Craiova 200143, Romania
[14] Carol Davila Univ Med & Pharm, Fac Med, Dept Internal Med, Bucharest, Romania
[15] Clin Emergency Hosp Bucharest, Internal Med Clin, Bucharest 105402, Romania
[16] Carol Davila Univ Med & Pharm, Fac Med, 8 Eroii Sanit Blvd, Bucharest 050474, Romania
关键词
Myeloproliferative neoplasms; Budd-Chiari syndrome; Thrombosis; Polycythemia vera; Essential thrombocythemia; Primary myelofibrosis; SPLANCHNIC VEIN-THROMBOSIS; INTRAHEPATIC PORTOSYSTEMIC SHUNT; HEPATIC VENOUS THROMBOSIS; LIVER-TRANSPLANTATION; CLINICAL-OUTCOMES; RISK-FACTORS; ESSENTIAL THROMBOCYTHEMIA; ANTITHROMBOTIC TREATMENT; VASCULAR DISORDERS; POLYCYTHEMIA-VERA;
D O I
10.5306/wjco.v14.i3.99
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Myeloproliferative neoplasms (MPNs) are defined as clonal disorders of the hematopoietic stem cell in which an exaggerated production of terminally differentiated myeloid cells occurs. Classical, Philadelphia-negative MPNs, i.e., polycythemia vera, essential thrombocythemia and primary myelofibrosis, exhibit a propensity towards the development of thrombotic complications that can occur in unusual sites, e.g., portal, splanchnic or hepatic veins, the placenta or cerebral sinuses. The pathogenesis of thrombotic events in MPNs is complex and requires an intricate mechanism involving endothelial injury, stasis, elevated leukocyte adhesion, integrins, neutrophil extracellular traps, somatic mutations (e.g., the V617F point mutation in the JAK2 gene), microparticles, circulating endothelial cells, and other factors, to name a few. Herein, we review the available data on Budd-Chiari syndrome in Philadelphia-negative MPNs, with a particular focus on its epidemiology, pathogenesis, histopathology, risk factors, classification, clinical presentation, diagnosis, and management.
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页数:19
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