Clinical Manifestations of Philadelphia-negative Myeloproliferative Neoplasms in Sudan

Document Type : Original Article

Authors

1 Faculty of Medical Laboratory Sciences, University of Medical Sciences and Technology (UMST), Sudan

2 Radiation and Isotope Center - Khartoum (RICK), Sudan

3 Sudan Medical and & Scientific Research Institute (SUMASRI) University of Medical Sciences and Technology (UMST), Sudan

4 Faculty of Medical Laboratory Sciences, University of Medical Sciences and Technology (UMST), Sudan/Sudan Medical and & Scientific Research Institute (SUMASRI) University of Medical Sciences and Technology (UMST), Sudan

Abstract

Background/ objective: The Philadelphia-negative chronic myeloproliferative neoplasms (MPNs), is a heterogeneous group of oncohematological diseases that express a high burden of symptoms that significantly affect patient quality of life and are associated with high morbidity and premature mortality. This study aimed to determine the clinical manifestations of MPNs in the Sudanese population. Method: A retrospective study was carried out in the Radiation and Isotope Center at Khartoum (RICK), Sudan. 290 medical records of MPNs were examined. Results: Polycythemia Vera (PV) was the most frequent (64.1%) with a median age at diagnosis of 50 years. It was, followed by Essential Thrombocythemia (ET) (28.6%, median age 48years) and Primary Myelofibrosis (PMF) (7.3%, median age 58years). Male patients had mostly a history of PV (p < 0.05). Females were predominately affected by ET (p < 0.05), despite the gender distribution of PMF patients was approximately similar (p > 0.05). Among PV cases, the main symptoms present at diagnosis were fatigue with fever reported by 31.2% of cases followed by headache (26.6%), joint pain (24.2%), splenomegaly (14.2%), hepatosplenomegaly, and thrombotic complications. In ET, 43.4% of the cases complained about headache followed by fatigue associated with fever, joint pain, splenomegaly, hepatosplenomegaly. None of the ET cases presented bleeding or thrombotic complications. In PMF cases, the main symptoms were fatigue with fever (19%) followed by joint pain, headache, fever, bleeding, thrombotic complication, splenomegaly, hepatosplenomegaly.
Conclusion: The current study showed that in Sudan, MPNs affect a younger population and PV was more prevalent than ET and PMF. The findings also revealed that headache, fatigue, and joint pain were the most frequent symptoms

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