Zaini Rana G, Nawwab Wafa A, Alharthi Shmooa, Alboqami Nawal F, Hazzazi Samiyah A, Althubaity Thamer A, Altowirgi Maryam A
Clin Lab. 2025 Apr 1;71(4). doi: 10.7754/Clin.Lab.2024.241002.
Anemia in patients with leukemia results in poor quality of life (QOL) and increased risk of complications from chemotherapy. We aimed to identify the prevalence and characteristics of anemia among newly-diagnosed patients with acute and chronic leukemia.
A retrospective cohort included all patients diagnosed with leukemia at King Faisal Medical Complex in Taif City, Saudia Aribia, from 2019 through 2023.
From 49 patients newly diagnosed with leukemia, 57% were males, and 40.8% were more than 60 years old. The prevalence of anemia was 83.6%. The mean hemoglobin level was 9.7 ± 3 g/dL. Furthermore, 36.7% had acute myeloid leukemia (AML), 36.7% had chronic lymphocytic leukemia (CLL), 22.5% had acute lymphoblastic leukemia (ALL), while only 2% had chronic myeloid leukemia (CML) and 2% had non-Hodgkin lymphoma (NHL). The most common type of anemia was normocytic normochromic anemia (55.6%), followed by macrocytic hyperchromic anemia (24.4%). All patients diagnosed with AML, ALL, CML, or NHL had anemia at time of diagnosis. However, the prevalence of anemia among patients diagnosed with CLL was 55%.
Anemia is highly prevalent among patients with leukemia at time of diagnosis. Early identification and correction are crucial to improve QOL and reduce complications from chemotherapy.
白血病患者的贫血会导致生活质量(QOL)下降以及化疗并发症风险增加。我们旨在确定新诊断的急性和慢性白血病患者中贫血的患病率及特征。
一项回顾性队列研究纳入了2019年至2023年期间在沙特阿拉伯塔伊夫市法赫德国王医疗中心诊断为白血病的所有患者。
在49例新诊断的白血病患者中,57%为男性,40.8%年龄超过60岁。贫血患病率为83.6%。平均血红蛋白水平为9.7±3g/dL。此外,36.7%患有急性髓系白血病(AML),36.7%患有慢性淋巴细胞白血病(CLL),22.5%患有急性淋巴细胞白血病(ALL),而只有2%患有慢性髓系白血病(CML),2%患有非霍奇金淋巴瘤(NHL)。最常见的贫血类型是正细胞正色素性贫血(55.6%),其次是大细胞高色素性贫血(24.4%)。所有诊断为AML、ALL、CML或NHL的患者在诊断时均有贫血。然而,诊断为CLL的患者中贫血患病率为55%。
贫血在白血病患者诊断时非常普遍。早期识别和纠正对于改善生活质量和减少化疗并发症至关重要。