Is there a standard-of-care for transfusion therapy in thalassemia?

被引:8
作者
Franchini, Massimo [1 ,2 ]
Forni, Gian L. [3 ]
Liumbruno, Giancarlo M. [1 ]
机构
[1] Italian Natl Blood Ctr, Natl Inst Hlth, Rome, Italy
[2] Carlo Poma Hosp, Dept Hematol & Transfus Med, Mantua, Italy
[3] Osped Galliera, Ctr Microcitemia Anemie Congen & Dismetab, Genoa, Italy
关键词
iron chelation; iron overload; red blood cell transfusion; thalassemia; ORAL IRON CHELATOR; BETA-THALASSEMIA; DEFERIPRONE THERAPY; DEFERASIROX; DESFERRIOXAMINE; COMPLICATIONS; DEFEROXAMINE; SURVIVAL; EFFICACY; SAFETY;
D O I
10.1097/MOH.0000000000000373
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of review Thalassemia is the most common form of inherited anemia, characterized by variable clinical phenotypes. The purpose of this review is to summarize the transfusion support in thalassemia patients and the management of transfusion-related iron overload. Recent findings The most recent evidence on transfusion strategy and iron chelation therapy in thalassemia arising from clinical trials as well as from recommendation guidelines are critically discussed. Summary Enhancements in the global care of thalassemia, resulting from the combination of an appropriate transfusion approach and iron chelation therapy, have produced a significant improvement in the quality of life and, finally, in the prognosis of patients affected by this inherited hematologic disorder.
引用
收藏
页码:558 / 564
页数:7
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