Table 1. Donor and Specimen Screening.
DONOR & SPECIMEN SCREENING | ||
---|---|---|
Universal Screening (For All Normal Control & BMF Participants) | NORM CTL | BMF PTS |
Demographics including date of birth | X | X |
History and Physical Exam | ||
CBC/Differential/Reticulocyte count | ||
Serum iron/total iron binding capacity/ferritin | ||
RBC folate/B12 serology | ||
Pathogen Screening (HIV/HTLV/HBV/HCV/Chagas/Syphillis) |
Standard of Care, General (to establish diagnosis) | NORM CTL | BMF PTS |
---|---|---|
Symptoms and Treatment | NA | X |
Comprehensive metabolic panel | ||
Cytogenetics if bone marrow aspiration if done. | ||
Bone marrow biopsy/aspiration* | ||
HLA TYPING (KIR-Ligand) if not already known | ||
Quality of life Questionnaire |
Standard of Care, Disease Specific (to establish diagnosis) | NORM CTL | AA | LGL | MDS | PNH |
---|---|---|---|---|---|
Factor V Leiden, Protein S, Protein C, Prothrombin 2010A | NA | X | |||
PNH clones by flow cytometry (CD55 & CD59 on granulocytes) | X | X | |||
DEB testing (Fanconianaemia) in patients < 21 years old | X | ||||
TCR-gamma rearrangement | X | X | |||
Serum Protein electrophoresis | X | ||||
Rheumatoid factor | X | ||||
Low grade lymphoma panel | X | ||||
Bone marrow flow cytometry of blast gate** | X | ||||
Parvovirus B-19 IgM and IgG serologies | |||||
Chest x-ray; CT scan if chest x-ray inconclusive |
: Biopsy/aspiration was performed only if clinically indicated.
: Flow cytometry was done only if bone marrow cells were already collected.
NORM CTL: normal control donors/specimens, BMF PTS: Bone marrow failure participants, NA, not applicable, AA: aplastic anemia, LGL: LGL leukemia, MDS: myelodysplastic syndrome, PNH: paroxysmal nocturnal haemoglobinuria