Abstract
Twenty-four untreated patients with myelomatosis were studied in order to characterize their anaemia, using standard haematological and ferrokinetic techniques, together with measurements of circulating erythropoietin, erythropoietin sensitivity of marrow cultures and in vitro measurements of haem synthesis. There is a reduction in total erythroid output by the marrow, together with a minor degree of plasma expansion. In patients with normal renal function there is an appropriate increase in erythropoietin in response to anaemia, but in a few cases there may be reduced response of CFU-E to the hormone in vitro. No abnormality of iron status or haem synthesis was found. One case of folate deficiency was discovered.
Full text
PDF







Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Al-Ismail S., Cavill I., Evans I. H., Jacobs A., Ricketts C., Trevett D., Whittaker J. A. Erythropoiesis and iron metabolism in Hodgkin's disease. Br J Cancer. 1979 Sep;40(3):365–370. doi: 10.1038/bjc.1979.190. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Alexanian R. Blood volume in monoclonal gammopathy. Blood. 1977 Feb;49(2):301–307. [PubMed] [Google Scholar]
- Birgens H. S., Hansen O. P., Henriksen J. H., Wantzin P. Quantitation of erythropoiesis in myelomatosis. Scand J Haematol. 1979 Apr 4;22(4):357–363. doi: 10.1111/j.1600-0609.1979.tb00431.x. [DOI] [PubMed] [Google Scholar]
- CLINE M. J., BERLIN N. I. Studies of the anemia of multiple myeloma. Am J Med. 1962 Oct;33:510–525. doi: 10.1016/0002-9343(62)90262-0. [DOI] [PubMed] [Google Scholar]
- Catovsky D., Shaw M. T., Hoffbrand A. V., Dacie J. V. Sideroblastic anaemia and its association with leukaemia and myelomatosis: a report of five cases. Br J Haematol. 1971 Apr;20(4):385–393. doi: 10.1111/j.1365-2141.1971.tb07050.x. [DOI] [PubMed] [Google Scholar]
- Cavill I., Ricketts C., Jacobs A. Radioiron and erythropoiesis: methods, interpretation and clinical application. Clin Haematol. 1977 Oct;6(3):583–599. [PubMed] [Google Scholar]
- Dacie J. V., Mollin D. L. Siderocytes, sideroblasts and sideroblastic anaemia. Acta Med Scand Suppl. 1966;445:237–248. doi: 10.1111/j.0954-6820.1966.tb02366.x. [DOI] [PubMed] [Google Scholar]
- Durie B. G., Salmon S. E. A clinical staging system for multiple myeloma. Correlation of measured myeloma cell mass with presenting clinical features, response to treatment, and survival. Cancer. 1975 Sep;36(3):842–854. doi: 10.1002/1097-0142(197509)36:3<842::aid-cncr2820360303>3.0.co;2-u. [DOI] [PubMed] [Google Scholar]
- Hansen O. P. Bone marrow studies in myelomatosis. Scand J Haematol. 1978 Sep;21(3):265–272. doi: 10.1111/j.1600-0609.1978.tb00362.x. [DOI] [PubMed] [Google Scholar]
- Hansen O. P., Drivsholm A. Interrelationships between blood volume, venous haematocrit and renal failure in myelomatosis. Scand J Haematol. 1978 May;20(5):461–466. doi: 10.1111/j.1600-0609.1978.tb02483.x. [DOI] [PubMed] [Google Scholar]
- Hansen O. P., Thorling E. B., Drivsholm A. Serum erythropoietin in myelomatosis. Scand J Haematol. 1977 Jul;19(1):106–110. doi: 10.1111/j.1600-0609.1977.tb02726.x. [DOI] [PubMed] [Google Scholar]
- Hoffbrand A. V., Hobbs J. R., Kremenchuzky S., Mollin D. L. Incidence and pathogenesis of megaloblastic erythropoiesis in multiple myeloma. J Clin Pathol. 1967 Sep;20(5):699–705. doi: 10.1136/jcp.20.5.699. [DOI] [PMC free article] [PubMed] [Google Scholar]
- INNES J., NEWALL J. Myelomatosis. Lancet. 1961 Feb 4;1(7171):239–245. doi: 10.1016/s0140-6736(61)91420-9. [DOI] [PubMed] [Google Scholar]
- Jones B. M., Worwood M. An automated immunoradiometric assay for ferritin. J Clin Pathol. 1975 Jul;28(7):540–542. doi: 10.1136/jcp.28.7.540. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Khaleeli M., Keane W. M., Lee G. R. Sideroblastic anemia in multiple myeloma: a preleukemic change. Blood. 1973 Jan;41(1):17–25. [PubMed] [Google Scholar]
- Krantz S. B., Moore W. H., Zaentz S. D. Studies on red cell aplasia. V. Presence of erythroblast cytotoxicity in G-globulin fraction of plasma. J Clin Invest. 1973 Feb;52(2):324–336. doi: 10.1172/JCI107188. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kyle R. A. Multiple myeloma: review of 869 cases. Mayo Clin Proc. 1975 Jan;50(1):29–40. [PubMed] [Google Scholar]
- MACGIBBON B. H., MOLLIN D. L. SIDEROBLASTIC ANAEMIA IN MAN: OBSERVATIONS ON SEVENTY CASES. Br J Haematol. 1965 Jan;11:59–69. doi: 10.1111/j.1365-2141.1965.tb00085.x. [DOI] [PubMed] [Google Scholar]
- Napier J. A., Evans J. Erythropoietin assay using fetal mouse liver cell cultures: a modified technique using semi-automatic harvesting of I125 deoxyuridine labelled erythroblasts. Clin Lab Haematol. 1980;2(1):13–19. doi: 10.1111/j.1365-2257.1980.tb00803.x. [DOI] [PubMed] [Google Scholar]
- Ricketts C., Jacobs A., Cavill I. Ferrokinetics and erythropoiesis in man: the measurement of effective erythropoiesis, ineffective erythropoiesis and red cell lifespan using 59Fe. Br J Haematol. 1975 Sep;31(1):65–75. doi: 10.1111/j.1365-2141.1975.tb00833.x. [DOI] [PubMed] [Google Scholar]
- TEALE F. W. Cleavage of the haem-protein link by acid methylethylketone. Biochim Biophys Acta. 1959 Oct;35:543–543. doi: 10.1016/0006-3002(59)90407-x. [DOI] [PubMed] [Google Scholar]
- Tennant G. B. Continuous-flow automation of the Lactobacillus casei serum folate assay. J Clin Pathol. 1977 Dec;30(12):1168–1174. doi: 10.1136/jcp.30.12.1168. [DOI] [PMC free article] [PubMed] [Google Scholar]
- YOUNG D. S., HICKS J. M. METHOD FOR THE AUTOMATIC DETERMINATION OF SERUM IRON. J Clin Pathol. 1965 Jan;18:98–102. doi: 10.1136/jcp.18.1.98. [DOI] [PMC free article] [PubMed] [Google Scholar]
