Symbols and abbreviations
cross-reference
↓
decreased
↑
increased
important
very important
↔
normal
websites
♀
female
♂
male
1°
primary
2°
secondary
2,3 DPG
2,3 diphosphoglycerate
2-CDA
2-chlorodeoxyadenosine
A2-M
alpha2 microglobulin
6-MP
6-mercaptopurine
99mTc-MIBI
99m Tc methoxyisobutyl-isonitride or 99m Tc-MIBI scintigraphy
AA
aplastic anaemia or reactive amyloidosis
Ab
antibody
ABVD
adriamycin (doxorubicin), bleomycin, vinblastine,
ACD
acid-citrate-dextrose or anaemia of chronic disease
ACE
angiotensin converting enzyme
ACL
anticardiolipin antibody
ACML
atypical chronic myeloid leukaemia
ADA
adenosine deaminase
ADE
cytosine arabinoside (Ara-C) daunorubicin etoposide
ADP
adenosine 5-diphosphate
AFB
acid fast bacilli
Ag
antigen
AIDS
acquired immunodeficiency syndrome
AIHA
autoimmune haemolytic anaemia
AIN
autoimmune neutropenia
AITL
angio-immunoblastic T-cell lymphoma
AL
(1°) amyloidosis
ALB
serum albumin
ALCL
anaplastic large cell lymphoma
ALG
anti-lymphocyte globulin
ALIPs
abnormal localization of immature myeloid precursors
ALL
acute lymphoblastic leukaemia
ALS
advanced life support
ALT
alanine aminotransferase
AML
acute myeloid leukaemia
AMP
adenosine monophosphate
ANA
antinuclear antibodies
ANAE
alpha naphthyl acetate esterase
ANCA
anti-neutrophilic cytoplasmic antibody
ANH
acute normovolaemic haemodilution
APC
activated protein C
APCR
activated protein C resistance
APL
antiphospholipid antibody
APML
acute promyelocytic leukaemia
APS
antiphospholipid syndrome
APTR
activated partial thromboplastin ratio
APTT
activated partial thromboplastin time
ARDS
adult respiratory distress syndrome
ARF
acute renal failure
ARMS
amplification refractory mutation system
ASCT
autologous stem cell transplantation
AST
aspartate aminotranferase
AT (ATIII)
antithrombin III
ATCML
adult-type chronic myeloid (granulocytic) leukaemia
ATG
anti-thymocyte globulin
ATLL
adult T-cell leukaemia/lymphoma
ATP
adenosine triphosphate
ATRA
all-trans retinoic acid
A-V
arteriovenous
AvWS
acquired von Willebrand syndrome
β2-M
beta-2-microglobuline
BAL
broncho-alveolar lavage
B-CLL
B-cell chronic lymphocytic leukaemia
bd
bis die (twice daily)
BEAC
BCNU, etoposide, cytosine, cyclophosphamide
BEAM
BCNU, etoposide, cytarabine (ara-C), melphalan
BFU-E
burst-forming unit-erythroid
BJP
Bence Jones protein
BL
Burkitt lymphoma
BM
bone marrow
BMJ
British Medical Journal
BMM
bone marrow mastocytosis
BMT
bone marrow transplantation
BNF
British National Formulary
BP
blood pressure
BPL
BioProducts Laboratory
BSS
Bernard–Soulier syndrome
BTG
B-thromboglobulin
BU
Bethesda Units
C/I
consolidation/intensification
Ca
carcinoma
Ca2+
calcium
CABG
coronary artery by pass graft
cALL
common acute lymphoblastic leukaemia
CAMT
congenital amegakaryocytic thrombocytopenia
CaPO4
calcium phosphate
CBA
collagen binding activity
CBV
cyclophosphamide, carmustine (BCNU), etoposide
CCF
congestive cardiac failure
CCR
complete cytogenetic response
CD
cluster differentiation or designation
CDA
congenital dyserythropoietic anaemia
cDNA
complementary DNA
CEL
chronic eosinophilic leukaemia
CGL
chronic granulocytic leukaemia
CHAD
cold haemagglutinin disease
CHOP
cyclophosphamide, adriamycin, vincristine, prednisolone
CJD
Creutzfeldt–Jakob disease (v = variant)
Cl-
chloride
CLD
chronic liver disease
CLL
chronic lymphocytic (‘lymphatic’) leukaemia
CM
cutaneous mastocytosis
CMC
chronic mucocutaneous candidiasis
CML
chronic myeloid leukaemia
CMML
chronic myelomonocytic leukaemia
CMV
cytomegalovirus
CNS
central nervous system
COAD
chronic obstructive airways disease
COC
combined oral contraceptive
COMP
cyclophosphamide, vincristine, methotrexate,
CR
complete remission
CRF
chronic renal failure
CRP
C-reactive protein
CRVT
central retinal renous thrombosis
CSF
cerebrospinal fluid
CT
computed tomography
CTLp
cytotoxic T-lymphocyte precursor assays
CTZ
chemoreceptor trigger zone
CVA
cerebrovascular accident
CVP
cyclophosphamide, vincristine, prednisolone; central
CVS
chorionic villus sampling
CVS
cardiovascular system
CXR
chest x-ray
CyA
ciclosporin A
CytaBOM
cytarabine, bleomycin, vincristine, methotrexate
d
day
DAGT
direct antiglobulin test
DAT
direct antiglobulin test daunorubicin, cytosine (Ara-C),
dATP
deoxy ATP
DBA
Diamond–Blackfan anaemia
DC
dyskeratosis congenita
DCS
dendritic cell system
DCT
direct Coombs’ test
DDAVP
desamino D-arginyl vasopressin
DEAFF
detection of early antigen fluorescent foci
DEB
diepoxy butane
DFS
disease-free survival
DHAP
dexamethasone, cytarabine, cisplatin
DI
delayed intensification
DIC
disseminated intravascular coagulation
dL
decilitre
DLBCL
diffuse large B-cell lymphoma
DLI
donor leucocyte/lymphocyte infusion
DMSO
dimethyl sulphoxide
DNA
deoxyribonucleic acid
DOB
date of birth
DPG
diphosphoglycerate
DRVVT
dilute Russell’s viper venom time/test
DTT
dilute thromboplastin time
DVT
deep vein thrombosis
DXT
radiotherapy
EACA
epsilon aminocaproic acid
EBV
Epstein–Barr virus
EBVP
etoposide, bleomycin, vinblastine, prednisolone
ECG
electrocardiograph
ECOG
European Co-operative Oncology Group
EDTA
ethylenediamine tetraacetic acid
EEC
endogenous erythroid colonies
EFS
event-free survival
EGF
epidermal growth factor
ELISA
enzyme-linked immunosorbent assay
EMEA
European Medicines Agency
EMH
extramedullary haemopoietic
EMU
early morning urine
EPO
erythropoietin
EPOCH
etoposide, vincristine, doxorubicin, cyclophosphamide, prednisone
EPS
electrophoresis
ESHAP
etoposide, methylprednisolone, cytarabine, platinum
ESR
erythrocyte sedimentation rate
ET
essential thrombocythaemia or exchange transfusion
ETTL
enteropathy type T-cell lymphoma
FAB
French–American–British
FACS
fluorescence-activated cell sorter
FBC
full blood count
FCM
fludarabine, cyclophosphamide, melphalan
FDG-PET
18 fluoro–D–2–deoxyglucose positron emission tomography
FDP
fibrin degradation products
Fe
iron
FEIBA
factor eight inhibitor bypassing activity
FEL
familial erythrophagocytic lymphohistiocytosis
FeSO4
ferrous sulphate
FFP
fresh frozen plasma
FFS
failure-free survival
Fgn
fibrinogen
FH
family history
FISH
fluorescence in situ hybridisation
FITC
fluorescein isothiocyanate
FIX
factor IX
fL
femtolitre
FL
follicular lymphoma
FNA
fine needle aspirate
FOB
faecal occult blood
FVIII
factor VIII
FVL
factor V Leiden
g
gram
G&S
group, screen, and save
G6PD
glucose-6-phosphate dehydrogenase
GA
general anaesthetic
GCS
graded compression stockings
G-CSF
granulocyte colony stimulating factor
GIT
gastrointestinal tract
GM-CSF
granulocyte macrophage colony stimulating factor
GP
glycoprotein
GPI
glycosylphosphatidylinositol
GPS
gray platelet syndrome
GT
Glanzmann’s thrombasthenia
GvHD
graft versus host disease
GvL
graft versus leukaemia
h
hour
H/LMW
high/low molecular weight
HAART
highly active antiretroviral therapy
HAV
hepatitis A virus
Hb
haemoglobin
HbA
haemoglobin A
HbA2
haemoglobin A2
HbF
haemoglobin F (fetal Hb)
HbH
haemoglobin H
HBsAg
hepatitis B surface antigen
HBV
hepatitis B virus
HC
hydroxycarbamide or heavy chain
HCD
heavy chain disease
HCG
human chorionic gonadotrophin
HCII
heparin cofactor II
HCL
hairy cell leukaemia
HCO3
bicarbonate
Hct
haematocrit
HCV
hepatitis C virus
HD
haemodialysis
HDM
high dose melphalan
HDN
haemolytic disease of the newborn
HDT
high dose therapy
HE
hereditary elliptocytosis
HELLP
haemolysis, elevated liver enzymes and low platelets
HES
hypereosinophilic syndrome
HHT
hereditary haemorrhagic telangiectasia
HI
haematological improvement
HIT(T)
heparin-induced thrombocytopenia (with thrombosis)
HIV
human immunodeficiency virus
HL
Hodgkin’s lymphoma (Hodgkin’s disease)
HLA
human leucocyte antigen
HLH
haemophagocytic lymphohistiocytosis
HMP
hexose monophosphate shunt
HMWK
high molecular weight kininogen
HPA
human platelet antigen
HPF
high power field
HPFH
hereditary persistence of fetal haemoglobin
HPLC
high performance liquid chromatography
HPP
hereditary pyropoikilocytosis
HRT
hormone replacement therapy
HS
hereditary spherocytosis
HTLV-1
human T-lymphotropic virus type 1
HTO
high titre antibodies
HUMARA
human androgen receptor gene assay
HUS
haemolytic uraemic syndrome
IAGT
indirect antiglobulin test
IAHS
infection-associated haemophagocytic syndrome
ICE
ifosfamide, carboplatin, etoposide
ICH
intracranial haemorrhage
ICUS
idiopathic cytopenia of uncertain (undetermined) significance
IDA
iron deficiency anaemia
IF
involved field (radiotherapy)
IFA
intrinsic factor antibody
IFN-α
interferon alpha
Ig
immunoglobulin
IgA
immunoglobulin A
IgD
immunoglobulin D
IgE
immunoglobulin E
IgG
immunoglobulin G
IgM
immunoglobulin M
IL-1
interleukin-1
IM
intramuscular
IMF
idiopathic myelofibrosis
INR
International normalized ratio
inv
chromosomal inversion
IPC
intermittent pneumatic compression devices
IPF
immature platelet fraction
IPI
International Prognostic Index
IPSS
International Prognostic Scoring System
ISM
Indolent systemic mastocytosis
ISS
International Sensitivity Index
IT
intrathecal
ITP
idiopathic thrombocytopenic purpura
ITU
Intensive Therapy Unit
IU
international units
IUGR
intrauterine growth retardation
IUT
intrauterine transfusion
IV
intravenous
IVI
intravenous infusion
IVIg
intravenous immunoglobulin
JCMML
juvenile chronic myelomonocytic leukaemia
JML
juvenile myelomonocytic leukaemia
JVP
jugular venous pressure
KCT
Kaolin clotting time
kg
kilogram
L
litre
LA
lupus anticoagulant
LAP
leucocyte alkaline phosphatase (score)
LC
light chain
LCH
Langerhans cell histiocytosis
LDH
lactate dehydrogenase
LDHL
lymphocyte depleted HL
LFS
leukaemia free survival
LFTs
liver function tests
LGL
large granular lymphocyte
LLN
lower limit of normal
LMWH
low molecular weight heparin
LN
lymph node(s)
LP
lumbar puncture
LPD
lymphoproliferative disorder
LRCHL
lymphocyte rich classical HL
LSCS
lower segment Caesarian section
LTC
large transformed cells
M&P
melphalan and prednisolone
MACOP-B
methotrexate, doxorubicin, cyclophosphamide, vincristine, bleomycin, prednisolone
MAHA
microangiopathic haemolytic anaemia
MALT
mucosa-associated lymphoid tissue
m-BACOD
methotrexate, bleomycin, adriamycin (doxorubicin), cyclophosphamide, vincristine, dexamethasone
mc
micro
MC
mast cell(s)
MCH
mean cell haemoglobin
MCHC
mean corpuscular haemoglobin concentration
MCHL
mixed cellularity HL
MCL
mast cell leukaemia or mantle cell lymphoma
MCP
mitoxantrone, chlorambucil, prednisolone
MCR
major cytogenetic response
MCS
mast cell sarcoma
M-CSF
macrophage colony stimulating factor
MCV
mean cell volume
MDS
myelodysplastic syndrome
MetHb
methaemoglobin
MF
myelofibrosis
mg
milligram
MGUS
monoclonal gammopathy of undetermined significance
MHC
major histocompatibility complex
MI
myocardial infarction
min
minute(s)
mL
millilitre
MLC
mixed lymphocyte culture
MM
multiple myeloma
MMC
mitomycin C
MNC
mononuclear cell(s)
MoAb
monoclonal antibody
MP
melphalan and prednisolone
MPCM
maculopapular cutaneous mastocytosis
MPD
myeloproliferative disease
MPO
myeloperoxidase
MPS
mononuclear phagocytic system
MPT
melphalan, prednisolone, and thalidomide
MPV
mean platelet volume
MRD
minimal residual disease
MRI
magnetic resonance imaging
mRNA
messenger ribonucleic acid
MRSA
meticillin-resistant Staphylococcus aureus
MSBOS
maximum surgical blood ordering schedule
MSU
midstream urine
MT
mass: thoracic
MTX
methotrexate
MUD
matched unrelated donor (transplant)
MZL
mantle zone lymphoma
Na+
sodium
NaCl
sodium chloride
NADP
nicotinamide adenine diphosphate
NADPH
nicotinamide adenine diphosphate (reduced)
NAIT
neonatal alloimmune thrombocytopenia
NAP
neutrophil alkaline phosphatase
NBT
nitro blue tetrazolium
NEJM
New England Journal of Medicine
NHL
non-Hodgkin’s lymphoma
NLPHL
nodular lymphocyte predominant HL
NRBC
nucleated red blood cells
NS
nodular sclerosing
NS
non-secretory (myeloma)
NSAIDs
non-steroidal antiinflammatory drugs
NSE
non-specific esterase
NSHL
nodular sclerosing HL
OAF
OC-activating factor
OB
osteoblast
OC
osteoclast
OCP
oral contraceptive pill
od
omni die (once daily)
OPG
osteoprotogerin
OPG
orthopantomogram
OR
overall response
OS
overall survival
OWR
Osler–Weber–Rendu
PA
pernicious anaemia
PAI
plasminogen activator inhibitor
PaO2
partial pressure of O2 in arterial blood
PAS
periodic acid–Schiff
PB
peripheral blood
PBSC
peripheral blood stem cell
PC
protein C
PCC
prothrombin complex concentrate
PCH
paroxysmal cold haemoglobinuria
PCL
plasma cell leukaemia
PCP
Pneumocystis carinii pneumonia
PCR
polymerase chain reaction
PCV
packed cell volume
PD
peritoneal dialysis
PDGF
platelet-derived growth factor
PDW
platelet distribution width
PE
pulmonary embolism
PEP
post-expoure prophylaxis
PET
pre-eclamptic toxaemia or position emission tomography
PF
platelet factor
PFA
platelet function analysis
PFK
phosphofructokinase
PFS
progression-free survival
PGD2
prostaglandin D2
PGE1
prostaglandin E1
PGK
phosphoglycerate kinase
Ph
Philadelphia chromosome
PIG
phosphatidylinositol glycoproteins
PIVKA
protein induced by vitamin K absence
PK
pyruvate kinase
PLL
prolymphocytic leukaemia
PML
promyelocytic leukaemia
PNET
primitive neuroectodermal tumour
PO
per os (by mouth)
PPH
post-partum haomorrhage
PPI
proton pump inhibitor
PPP
primary proliferative polycythaemia
PRCA
pure red cell aplasia
PRN
as required
ProMACE
prednisolone, doxorubicin, cyclophosphamide, etoposide
PRV
polycythaemia rubra vera
PS
protein S
PSA
pure sideroblastic anaemia or prostate-specific antigen
PT
prothrombin time
PTCL
peripheral T-cell lymphomas
PTP
pretest probability or post-transfusion purpura
PUVA
phototherapy with psoralen plus UV-A
PV
polycythaemia vera
PVO
pyrexia of unknown origin
qds
quater die sumendus (to be taken 4 times a day)
QoL
quality of life
RA
refractory anaemia
RAEB
refractory anaemia with excess blasts
RAEB-t
refractory anaemia with excess blasts in transformation
RAR
retinoic acid receptor
RARS
refractory anaemia with ring sideroblasts
RBC
red blood cell
RCC
red blood cell count
RCM
red cell mass
RCMD
refractory cytopenia with multilineage dysplasia
RDS
respiratory distress syndrome
RDW
red cell distribution width
RE
relative erythrocytosis; reticuloendothelial
REAL
Revised European American Lymphoma
RES
reticuloendothelial system
RFLP
restriction fragment length polymorphism
Rh
Rhesus
rhAPC
recombinant human activated protein C
rhG-CSF
recombinant human granulocyte colony stimulating factor
rHuEPO
recombinant human erythropoietin
RI
remission induction
RIA
radioimmunoassay
RIC
reduced-intensity conditioning
RiCoF
ristocetin cofactor
RIPA
ristocetin-induced platelet agglutination
RS
Reed–Sternberg or ringed sideroblasts
RT
reptilase time
RT-PCR
reverse transcriptase polymerase chain reaction
s
second(s)
SAA
serum amyloid A protein
SAGM
saline adenine glucose mannitol
SaO2
arterial oxygen saturation
SAP
serum amyloid P protein
SBP
solitary plasmacytoma of bone
SC
subcutaneous
SCA
sickle cell anaemia
SCBU
special care baby unit
SCD
sickle cell disease
SCID
severe combined immunodeficiency
SCT
stem cell transplantation or silica clot time
SD
standard deviation
SE
secondary erythrocytosis
SEP
extramedullary plasmacytoma
SLE
systemic lupus erythematosus
SLL
small lymphocytic lymphoma
SLVL
splenic lymphoma with villous lymphocytes
SM
systemic mastocytosis
SM-AHNMD
systemic mastocytosis with an associated clonal haemato logical non-mast cell lineage disease
SmIg
surface membrane immunoglobulin
SMZL
splenic marginal zone lymphoma
SOB
short of breath
SPB
solitary plasmacytoma of bone
SPD
storage pool disorders/deficiency
stat
statim (immediate; as initial dose)
sTfR
soluble transferrin receptor
SVC
superior vena cava
SVCO
superior vena caval obstruction
T° (4T°)
temperature (fever)
t½
half-life
T4
thyroxine
TAM
transient abnormal myelopoiesis
TAR
thrombocytopenia with absent radius
TB
tuberculosis
TBI
total body irradiation
TCR
T-cell receptor
tds
ter die sumendum (to be taken 3 times a day)
TdT
terminal deoxynucleotidyl transferase
TEC
transient erythroblastopenia of childhood
TEG
thromboelastography
TENS
transcutaneous nerve stimulation
TF
tissue factor
TFT
thyroid function test(s)
TGF-β
transforming growth factor-β
TI
transfusion-independence
TIAs
transient ischaemic attacks
TIBC
total iron binding capacity
tiw
three times in a week
TNF
tumour necrosis factor
topo II
topoisomerase II
TORCH
toxoplasmosis, rubella, cytomegalovirus, herpes sim
TPA
tissue plasminogen activator
TPI
triphosphate isomerase
TPN
total parenteral nutrition
TPO
thrombopoietin
TPR
temperature, pulse, respiration
TRAP
tartrate-resistant acid phosphatase
TRM
treatment related mortality
TSE
transmissible spongiform encephalopathy
TSH
thyroid-stimulating hormone
TT
thrombin time
TTP
thrombotic thrombocytopenic purpura
TXA
tranexamic acid
TXA2
thromboxane A2
U&E
urea and electrolytes
U
unit(s)
UC
ulcerative colitis
UFH
unfractionated heparin
URTI
upper respiratory tract infection
US
ultrasound
USS
ultrasound scan
UTI
urinary tract infection
VAD
vincristine adriamycin dexamethasone regimen
VBAP
vincristine, carmustine (BCNU), doxorubicin, prednisolone
VBMCP
vincristine, carmustine, melphalan, cyclophosphamide, prednisolone
VC
vena cava
VDRL
Venereal Disease Research Laboratory
VEGF
vascular endothelial growth factor
VF
ventricular fibrillation
VIII:C
factor VIII clotting activity
Vit K
vitamin K
VMCP
vincristine, melphalan, cyclophosphamide, prednisolone
VMP
melphalan, prednisolone, bortezomib
VOD
veno-occlusive disease
VTE
venous thromboembolism
vWD
von Willebrand disease
vWF
von Willebrand factor
vWFAg
von Willebrand factor antigen
WAS
Wiskott–Aldrich syndrome
WBC
white blood cell
WBRT
whole brain radiotherapy
WCC
white cell count
WM
Waldenström macroglobulinaemia
X match
cross-match
XDPs
cross-linked fibrin degradation products
DOI: 10.1093/med/9780199227396.002.0013
Contents
Chapter 1 Clinical approach Chapter 2 Red cell disorders Chapter 3 White blood cell abnormalities Chapter 7 Myeloproliferative neoplasms Chapter 8 Paraproteinaemias Chapter 9 Haematopoietic stem cell transplantation (SCT) Chapter 10 Haemostasis and thrombosis Chapter 11 Immunodeficiency Chapter 12 Paediatric haematology Chapter 13 Haematological emergencies Chapter 14 Supportive care chapter 15 Protocols and procedures Chapter 16 Haematological investigations Chapter 17 Blood transfusion Chapter 18 Phone numbers and addresses Chapter 19 Haematology online Chapter 20 Charts and nomograms
3rd edition
The Oxford Handbook of Clinical Haematology continues to provide the core knowledge needed in clinical practice for the diagnosis and management of patients with disorders of the blood. Major advances in the specialty have been reflected in this thoroughly revised content. Differential diagnoses, relevant investigations and management guidelines are covered.
Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work.
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