All::Haematology::Diseases::Acute myeloid leukaemia

Intro

What are the main clinical features of Acute myeloid leukaemia?

Features are largely related to bone marrow failure:

  • anaemia: pallor, lethargy, weakness
  • neutropenia: whilst white cell counts may be very high, functioning neutrophil levels may be low leading to frequent infections etc
  • thrombocytopenia: bleeding
  • splenomegaly
  • bone pain

What age group is more commonly affected by Acute myeloid leukaemia?

older adults

What are the Poor prognostic features of Acute myeloid leukaemia?

  • over 60 years
  • more than 20% blasts after first course of chemo
  • cytogenetics: deletions of chromosome 5 or 7

Classification - French-American-British (FAB) of Acute myeloid leukaemia

  • MO - {{c1::undifferentiated}}
  • M1 - {{c2::without maturation}}
  • M2 - {{c3::with granulocytic maturation}}
  • M3 - {{c4::acute promyelocytic}}
  • M4 - {{c5::granulocytic and monocytic maturation}}
  • M5 - {{c6::monocytic}}
  • M6 - {{c7::erythroleukaemia}}
  • M7 - {{c8::megakaryoblastic}}