Diffuse osteolytic lesions in leukemic transformation of myelofibrosis

Author:

Jurisic Vladimir1ORCID,Colovic Natasa2,Pavlovic Sonja3,Colovic Milica2

Affiliation:

1. Institute of Hematology, University Clinical Center, Belgrade, + School of Medicine, Kragujevac

2. Institute of Hematology, University Clinical Center, Belgrade

3. Institute for Molecular Biology and Genetic Engineering, Belgrade

Abstract

Myelofibrosis is a clonal myeloproliferative disorder characterized by splenomegaly, abnormal deposition of reticulin and collagen in the bone marrow, extramedullary hematopoiesis, dacryocytosis and leukoerythroblastic blood smear. Development and sustainment of fibrosis are mediated by complex network of several cytokines. Osteosclerosis is the most frequently observed bone change in myelofibrosis. We present an atypical case of leukemic transformation in myelofibrosis associated with diffuse osteolytic lesions and extremely elevated lactate dehydrogenase in serum, which indicates high bone turnover during leukemic infiltration and bone destruction.

Publisher

National Library of Serbia

Subject

Oncology,Hematology

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