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Paroxysmal Nocturnal Haemoglobinuria (PNH) Dr Conal McConville ...

Paroxysmal Nocturnal Haemoglobinuria (PNH) Dr Conal McConville ...

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Thrombosis<br />

Chronic Kidney Disease<br />

Fatigue / Impaired QOL<br />

Pulmonary Hypertension<br />

Fatigue and Quality of Life Conclusions<br />

• 96% of patients report fatigue 1<br />

– Fatigue/QoL independent of anemia/transfusion requirements<br />

• 76% of patients with <strong>PNH</strong> have disruptions in daily<br />

activities 1<br />

– 17% of patients were unemployed due to <strong>PNH</strong><br />

• Fatigue, QoL and abdominal pain are linked by<br />

underlying haemolysis and the threat of ischemia and<br />

mortality 2<br />

– 66% of patients report shortness of breath<br />

– 57% of patients report abdominal pain<br />

• 2.2-fold increased risk of mortality<br />

• 3.6-fold increased risk of developing TE<br />

• <strong>PNH</strong> symptoms are independent of clone size 3<br />

1. Meyers G et al. Blood. 2007;110(11):Abstract 3683. 2. Lee JW et al. Hematologica 2010. 95 (s2): Abstract #506. 3. Urbano-Ispizua A et<br />

al. Hematologica 2010. 95 (s2): Abstract #1022.<br />

August_12_2010Gbl<br />

20

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