Table 3.

Who should be tested for paroxysmal nocturnal hemoglobinuria (PNH) and how often?

OnceRepeatedly*
* Initially once every 6 months; then annually 
  • All patients with hemoglobinuria

  • All patients with unexplained hemolysis (increased LDH)

  • All patients with abdominal and cerebral vein thrombosis

  • All patients with thrombocytopenia and macrocytosis or signs of hemolysis

 
  • All patients with PNH

  • All patients who have aplastic anemia

  • All patients who have had aplastic anemia (except after bone marrow transplantation

  • All patients with myelodysplastic syndrome (MDS)

 
OnceRepeatedly*
* Initially once every 6 months; then annually 
  • All patients with hemoglobinuria

  • All patients with unexplained hemolysis (increased LDH)

  • All patients with abdominal and cerebral vein thrombosis

  • All patients with thrombocytopenia and macrocytosis or signs of hemolysis

 
  • All patients with PNH

  • All patients who have aplastic anemia

  • All patients who have had aplastic anemia (except after bone marrow transplantation

  • All patients with myelodysplastic syndrome (MDS)

 

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