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Table 1 Characteristics of MDS/CMML patients with positive or negative IPS

From: Utility of indium-111 platelet scintigraphy for understanding the mechanism of thrombocytopenia associated with myelodysplastic syndromes and chronic myelomonocytic leukemia

 

Positive IPS (n = 10)

Negative IPS (n = 11)

Sex ratio (M/W)

5/5 (1)

5/6 (0.83)

Initial platelet count (n, min–max)

49 (40–83)

75 (41–91)

Bleeding symptoms

1 (10%)

3 (27%)

Isolated thrombocytopenia prior to MDS/CMML

8 (80%)

6 (54%)

Interval between first thrombocytopenia and MDS/CMML in months (n, min–max)

16 (1–77)

20 (8–59)

Age at diagnosis of MDS/CMML (n, min–max)

68 (61–75)

70 (70–77)

Platelet count at diagnosis of MDS/CMML (× 109/L; n, min–max)

42 (32–56)

59 (44–75)

Disease (MDS/CMML)

 CMML

5 (50%)

3 (27%)

 RAEB

1 (10%)

4 (37%)

 MDS-MLD

2 (20%)

1 (9%)

 MDS-U

1 (10%)

2 (18%)

 MDS-SLD

1 (10%)

1 (9%)

Bone marrow cellularity

 Decreased

0 (0%)

2 (18%)

 Normal

6 (60%)

5 (45%)

 Increased

4 (40%)

4 (36%)

Megakaryocytes in bone marrow

 Decreased

1 (10%)

5 (45%)

 Normal or increased

9 (90%)

6 (55%)

Dysplastic megakaryocytesa

 Yes

7 (70%)

2 (18%)

 No

3 (30%)

9 (82%)

R-IPSS

 Low

5 (20%)

4 (37%)

 Intermediate 1

4 (40%)

6 (54%)

 Intermediate 2

1 (10%)

1 (9%)

 High

0 (0%)

0 (0%)

Presence of ANA

 No

6 (60%)

6 (54%)

 Yes

4 (40%)

4 (37%)

 Not performed

0 (0%)

1 (9%)

MAIPA

 Positive

1 (10%)

1 (9%)

 Negative

6 (60%)

4 (37%)

 Not performed

3 (30%)

6 (54%)

Platelet kinetic study

 Interval between first thrombocytopenia and IPS, months (n, min–max)

22 (7–37)

22 (4–41)

 Sequestration pattern

  None

1 (10%)

7 (64%)

  Splenic

7 (70%)

2 (18%)

  Hepatic

2 (20%)

2 (18%)

 Platelet lifespan (n, min–max)

5.5 (5–6)

7 (6.5–7)

  1. ANA, anti-nuclear antibody; CMML, chronic myelomonocytic leukemia; F, female; M, male; MAIPA, monoclonal antibody immobilization of platelet antigens; MDS, myelodysplastic syndrome; MDS-MLD, MDS with multilineage dysplasia; MDS-SLD, MDS with single-lineage dysplasia; MDS-U, MDS unclassified; RAEB, refractory anaemia with excess blasts; R-IPSS, Revised International Prognostic Scoring System
  2. aMegakaryocytes with hypolobated nuclei, or with separated nucleus, or micro-megakaryocytes