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. 2021 Dec 10;2021(1):143-152. doi: 10.1182/hematology.2021000245

Table 1.

Clinical categories of patients with PNH clones

PNH category PNH granulocyte clone Clinical hemolysis Laboratory markers of hemolysis PNH symptoms Risk of thrombosis Utility of complement inhibitor therapy
Bone marrow failure with an associated PNH clone
Subclinical (majority of patients) Small (usually <30%) Absent May be present, depending on clone size Absent Low Do not benefit from complement inhibitor
Symptomatic Moderate May be present May be present May be present Intermediate Some patients may benefit from complement inhibitor
Classical PNH Large (usually >50%) Present Present Present High Complement inhibitor improves outcomes