Clinical Edge Journal Scan

MDS-associated autoimmune manifestations predict poor prognosis


 

Key clinical point: Presence of autoimmune manifestations (AIMs) predicts poor prognosis irrespective of disease severity in patients with myelodysplastic syndrome (MDS).

Major finding: MDS-associated AIMs were identified in 20% of patients, with overall survival being shorter in patients with vs. without AIMs ( P log-rank = .03). The prognosis was poor and comparable among patients with low-risk MDS and associated AIMs vs. those with high-risk MDS without AIMs ( P log-rank = .9).

Study details: Findings are from a retrospective study of 61 patients with a new diagnosis of MDS.

Disclosures: This research was supported by Grant-in-Aid for Scientific Research(C). The authors declared no conflicts of interest.

Source: Arinobu Y et al. Medicine (Baltimore). 2021 Apr 2. doi: 10.1097/MD.0000000000025406

Recommended Reading

Overall survival in MDS after azacitidine discontinuation
MDedge Hematology and Oncology
Systemic PNH testing could allow better prediction and clinical follow-up in MDS
MDedge Hematology and Oncology
High-risk MDS: D-IA regimen shows promise in chemotherapy ineligible patients
MDedge Hematology and Oncology
MDS: SNP-A and UPD provide a new perspective for risk stratification
MDedge Hematology and Oncology
TP53-mutated MDS: EAp53 score identifies subsets with favorable prognosis
MDedge Hematology and Oncology
Comorbidities and prior malignancy negatively impact survival in MDS
MDedge Hematology and Oncology
High-risk MDS: Stanozolol improves PFS after effective induction therapy with decitabine
MDedge Hematology and Oncology
Clinical Edge Commentary: MDS April 2021
MDedge Hematology and Oncology
VEXAS: A novel rheumatologic, hematologic syndrome that’s making waves
MDedge Hematology and Oncology
Azacitidine may allow bridging to salvage allo-HSCT after hematologic relapse
MDedge Hematology and Oncology