Signs and symptoms of PNH
Subjective |
Fatigue, lethargy, asthenia, loss of sense of well-being |
Abdominal pain |
Dyspnea |
Chest pain |
Odynophagia* |
Male impotence |
Headache |
Objective |
Hemoglobinuria† |
Scleral icterus, jaundice |
Thromboembolic events‡ |
Laboratory abnormalities |
Cytopenias (anemia, thrombocytopenia, leukopenia, pancytopenia) |
Evidence of intravascular hemolysis (elevated LDH, elevated indirect bilirubin, low haptoglobin) |
Flow cytometry demonstrates deficiency of GPI-AP on a portion of red cells, granulocyte, and monocytes |
Iron deficiency |
Hemosiderinuria |
Subjective |
Fatigue, lethargy, asthenia, loss of sense of well-being |
Abdominal pain |
Dyspnea |
Chest pain |
Odynophagia* |
Male impotence |
Headache |
Objective |
Hemoglobinuria† |
Scleral icterus, jaundice |
Thromboembolic events‡ |
Laboratory abnormalities |
Cytopenias (anemia, thrombocytopenia, leukopenia, pancytopenia) |
Evidence of intravascular hemolysis (elevated LDH, elevated indirect bilirubin, low haptoglobin) |
Flow cytometry demonstrates deficiency of GPI-AP on a portion of red cells, granulocyte, and monocytes |
Iron deficiency |
Hemosiderinuria |