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Paroxysmal nocturnal hemoglobinuria

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72: 645: 276: 822: 48: 766: 2802: 2755: 2230: 477:(after Dr Thomas Ham, who described the test in 1937) was performed for confirmation. The Ham test involves placing red blood cells in mild acid; a positive result (increased RBC fragility) indicates PNH or Congenital dyserythropoietic anemia. This is now an obsolete test for diagnosing PNH due to its low sensitivity and specificity. 284: 540:
There are several groups where screening for PNH should be undertaken. These include patients with unexplained thrombosis who are young, have thrombosis in an unusual site (e.g. intra-abdominal veins, cerebral veins, dermal veins), have any evidence of hemolysis (e.g. a raised LDH), or have a low red
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and improves quality of life for those affected by PNH. Eculizumab dramatically alters the natural course of PNH, reducing symptoms and disease complications as well as improving survival to the extent that it may be equivalent to that of the general population. Eculizumab costs at least US$ 440,000
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inhibitor. It binds to the complement C5 protein and inhibits activation of the complement system, a part of the body's immune system. This binding prevents the breakdown of red blood cells in the bloodstream (intravascular hemolysis) in people with paroxysmal nocturnal hemoglobinuria and atypical
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Röth, Alexander; Nishimura, Jun-ichi; Nagy, Zsolt; Gaàl-Weisinger, Julia; Panse, Jens; Yoon, Sung-Soo; Egyed, Miklos; Ichikawa, Satoshi; Ito, Yoshikazu; Kim, Jin Seok; Ninomiya, Haruhiko; Schrezenmeier, Hubert; Sica, Simona; Usuki, Kensuke; Sicre de Fontbrune, Flore; Soret, Juliette; Sostelly,
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The most frequently reported adverse reactions for people with paroxysmal nocturnal hemoglobinuria include headache, nasopharyngitis (common cold), back pain and nausea The most frequently reported adverse reactions for people with atypical hemolytic uremic syndrome include headache, diarrhea,
185:. As the urine is more concentrated in the morning, this is when the color is most pronounced. This phenomenon mainly occurs in those who have the primary form of PNH, who will notice this at some point in their disease course. The remainder mainly experience the symptoms of anemia, such as 566:, this suppresses the production of PNH cells by the bone marrow, and indirectly the severity of the hemolysis. Iron deficiency develops with time, due to losses in urine, and may have to be treated if present. Iron therapy can result in more hemolysis as more PNH cells are produced. 1878: 574:
PNH is a chronic condition. In patients with only a small clone and few problems, monitoring of the flow cytometry every six months gives information on the severity and risk of potential complications. Given the high risk of thrombosis in PNH, preventive treatment with
326:, and, without these anchors, the cells are more easily targeted by the complement proteins. Although red blood cells, white blood cells, and platelets are targeted by complement, red blood cells are particularly vulnerable to lysis. The complement system is part of the 2323: 400:
and accumulation of carbon dioxide in the blood during sleep. This hypothesis has been questioned by researchers who note that not all those with PNH have increased hemolysis during sleep, so it is uncertain how important a role sleep actually plays in this disease.
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All cells have proteins attached to their membranes, often serving as a mode of communication or signaling between the cell and the surrounding environment. These signaling proteins are physically attached to the cell membrane in various ways, commonly anchored by
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Alexandre; Higginson, James; Dieckmann, Andreas; Gentile, Brittany; Anzures-Cabrera, Judith; Shinomiya, Kenji; Jordan, Gregor; Biedzka-Sarek, Marta; Klughammer, Barbara; Jahreis, Angelika; Bucher, Christoph; Peffault de Latour, RĂ©gis (19 March 2020).
3050: 3035: 1870: 2040: 500:. Based on the levels of these cell proteins, erythrocytes may be classified as type I, II, or III PNH cells. Type I cells have normal levels of CD55 and CD59; type II have reduced levels; and type III have absent levels. The 2315: 315:), only one active copy of the gene for PIGA is present in each cell regardless of sex. A mutation in the PIGA gene can lead to the absence of GPI anchors expressed on the cell membrane. When this mutation occurs in a 2248: 2357: 3696: 901:
25% of female cases of PNH are discovered during pregnancy. This group has a high rate of thrombosis, and the risk of death of both mother and child are significantly increased (20% and 8% respectively).
504:(FLAER) test is being used more frequently to diagnose PNH. FLAER binds selectively to the glycophosphatidylinositol anchor and is more accurate in demonstrating a deficit than simply for CD59 or CD55. 2065:
Rother RP, Rollins SA, Mojcik CF, Brodsky RA, Bell L (November 2007). "Discovery and development of the complement inhibitor eculizumab for the treatment of paroxysmal nocturnal hemoglobinuria".
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PNH is rare, with an annual rate of 1-2 cases per million. The prognosis without disease-modifying treatment is 10–20 years. Many cases develop in people who have previously been diagnosed with
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Crovalimab was approved for use in China in February 2024, in Japan in April 2024, in the United States in June 2024 and in the European Union in August 2024. It was developed and is marketed by
2215: 4121: 2740: 2032: 381:(Viagra), which improves the effect of nitric oxide on muscle cells. There is a suspicion that chronic hemolysis causing chronically depleted nitric oxide may lead to the development of 720:, but does not appear to affect the risk of death. Eculizumab was the first medication approved for each of its uses, and its approval was granted based on small trials. It is given by 223:
Forty percent of people with PNH develop thrombosis at some point in their illness. This is the main cause of severe complications and death in PNH. These may develop in common sites (
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or GPI) leading to the absence of protective exterior surface proteins that normally attach via a GPI anchor. It may develop on its own ("primary PNH") or in the context of other
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hypertension, upper respiratory infection, abdominal pain, vomiting, nasopharyngitis, anemia, cough, swelling of lower legs or hands, nausea, urinary tract infections and fever
124:(a blood clot) is caused by both the absence of GPI-anchored complement regulatory proteins (CD55 and CD59) on PNH platelets and the excessive consumption of nitric oxide (NO). 2255: 1709: 396:
Historically, the role of sleep and night in this disease (the "nocturnal" component of the name) has been attributed to acidification of the blood at night due to relative
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The most common side effects include fever, headache, increased levels of liver enzymes (a sign of possible liver problems) and pain in the extremities (arms and legs).
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Ham TH (1937). "Chronic haemolytic anaemia with paroxysmal nocturnal haemoglobinuria: study of the mechanism of haemolysis in relation to acid-base equilibrium".
471:, in which a patient's red blood cells are placed in low-ionic-strength solution and observed for hemolysis, was used for screening. If this was positive, the 3303: 3508: 582:
Episodes of thrombosis are treated as they would in other patients, but, given that PNH is a persisting underlying cause, it is likely that treatment with
1912: 1777: 4107: 3914: 3762: 3659: 3161: 1679: 3951: 3611: 3433: 2732: 2207: 3503: 3443: 4078: 150: 147:("secondary PNH"). Only a minority of affected people have the telltale red urine in the morning that originally gave the condition its name. 1860:
Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
3780: 1871:"Voydeya (danicopan) granted first-ever regulatory approval in Japan for adults with PNH to be used in combination with C5 inhibitor therapy" 1057: 673:
Danicopan was approved for medical use in Japan in January 2024, in the United States in March 2024, and in the European Union in April 2024.
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MartĂ­-Carvajal AJ, Anand V, Cardona AF, SolĂ  I (October 2014). "Eculizumab for treating patients with paroxysmal nocturnal hemoglobinuria".
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MartĂ­-Carvajal AJ, Anand V, Cardona AF, SolĂ  I (October 2014). "Eculizumab for treating patients with paroxysmal nocturnal hemoglobinuria".
863:(red blood cells unable to carry enough oxygen to tissues), blood clots, and impaired bone marrow function (not making enough blood cells). 3320: 108:, which normally inhibits such immune reactions. Since the complement cascade attacks the red blood cells within the blood vessels of the 3065: 2464: 1975: 1847: 464:
counts may be seen at this. In this case, anemia may be caused by insufficient red blood cell production in addition to the hemolysis.
4217: 701: 2680:"Pegcetacoplan treatment for geographic atrophy due to age-related macular degeneration: a plain language summary of the FILLY study" 3484: 3455: 3387: 4018: 2033:"FDA approves first treatment for neuromyelitis optica spectrum disorder, a rare autoimmune disease of the central nervous system" 1701: 300:(GPI). PNH occurs as a result of a defect in the assembling of these glycolipid-protein structures on the surface of blood cells. 4134: 3935: 3846: 3515: 501: 2652: 2421: 2285: 1937: 1802: 1595: 4088: 3958: 3830: 3448: 3154: 3494: 656:, sold under the brand name Voydeya, is a medication used for the treatment of paroxysmal nocturnal hemoglobinuria. It is a 541:
blood cell, white blood cell, or platelet count. Those who have a diagnosis of aplastic anemia should be screened annually.
3542: 2736: 1378:"The clinical sequelae of intravascular hemolysis and extracellular plasma hemoglobin: a novel mechanism of human disease" 799:(FDA) for the treatment of adults with paroxysmal nocturnal hemoglobinuria in December 2023. The FDA considers it to be a 697: 562:) can decrease the severity of hemolytic crises. Transfusion therapy may be needed; in addition to correcting significant 304: 3825: 116:
hemolytic anemia. There is ongoing research into other key features of the disease, such as the high incidence of venous
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Several of the proteins that anchor to GPI on the cell membrane are used to protect the cell from destruction by the
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when these clots break off and enter the lungs), but in PNH blood clots may also form in more unusual sites: the
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Enneking J (1928). "Eine neue form intermittierender haemoglobinurie (Haemoglobinuria paroxysmalis nocturia)".
1900: 1765: 887: 445: 252: 248: 1671: 1347: 918:, 1852–1915) during a lecture in 1881, later published in 1882. Later comprehensive descriptions were made by 3674: 1286: 922:
and Alessio Nazari in 1911, with further elaborations by Marchiafava in 1928 and Ferdinando Micheli in 1931.
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in men; this occurs mainly when the breakdown of red blood cells is rapid, and is attributable to spasm of
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Pegcetacoplan is the first treatment for paroxysmal nocturnal hemoglobinuria that binds to and inhibits
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to replace the destroyed cells) if there is no concurrent problem with production of red cells (such as
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Xu B (July 2023). "Novel targeted C3 inhibitor pegcetacoplan for paroxysmal nocturnal hemoglobinuria".
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Keating GM (December 2013). "Eculizumab: a review of its use in atypical haemolytic uraemic syndrome".
4068: 3772: 3568: 3563: 3371: 3257: 721: 709: 327: 236: 224: 217: 213: 97: 1553:"Primary prophylaxis with warfarin prevents thrombosis in paroxysmal nocturnal hemoglobinuria (PNH)" 377:. This theory is supported by the fact that these symptoms improve on administration of nitrates or 71: 17: 3617: 3362: 3170: 3054: 782: 725: 609: 256: 154: 579:
decreases the risk of thrombosis in those with a large clone (50% of white blood cells type III).
307:(PIGA), one of several enzymes needed to make GPI. The gene that codes for PIGA is located on the 3920: 3795: 3649: 3622: 3227: 2998: 2889: 2709: 2631: 2570: 2527: 2182: 2139: 2090: 1015: 919: 838: 468: 425: 228: 165:
for a single year of treatment and has been reported as one of the world's most expensive drugs.
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Marchiafava E, Nazari A (1911). "Nuovo contributo allo studio degli itteri cronici emolitici".
385:(increased pressure in the blood vessels supplying the lung), which in turn puts strain on the 3889: 3880: 3865: 3709: 3654: 3644: 3603: 3598: 3593: 3534: 3366: 3355: 3345: 3279: 3262: 3253: 3235: 3197: 3116: 3087: 2850: 2701: 2623: 2588: 2519: 2174: 2131: 2082: 2014: 1653: 1574: 1533: 1465: 1399: 1329: 1244: 1195: 1139: 1053: 1007: 972: 842: 729: 717: 705: 657: 493: 323: 161: 93: 60: 2456: 3987: 3968: 3899: 3713: 3705: 3350: 3335: 3274: 2990: 2881: 2840: 2832: 2691: 2615: 2578: 2562: 2509: 2499: 2166: 2121: 2074: 2006: 1967: 1839: 1643: 1635: 1564: 1523: 1492: 1455: 1389: 1321: 1234: 1226: 1185: 1177: 1129: 1121: 1108:
Parker C, Omine M, Richards S, Nishimura J, Bessler M, Ware R, et al. (December 2005).
999: 962: 740: 457: 413: 362: 89: 1263:"Alexion Pharmaceuticals ordered to lower price of $ 500K a year drug in Canada | CBC News" 890:. The fact that PNH develops in MDS also explains why there appears to be a higher rate of 4010: 3529: 2558: 895: 497: 441: 397: 178: 153:
is the only cure, but has significant rates of additional medical problems and death. The
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Brodsky, R. A. (2014a). Paroxysmal nocturnal hemoglobinuria. Blood, 124(18), 2804–2811.
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The Dutch physician Enneking coined the term "paroxysmal nocturnal hemoglobinuria" (or
853: 555: 481: 312: 201: 182: 174: 101: 3059: 869:. Pegcetacoplan was approved for medical use in the United States in May 2021. The US 275: 4201: 2893: 2836: 2806: 2759: 2713: 2635: 2531: 2234: 1460: 1443: 830: 814: 665: 660:
inhibitor which reversibly binds to factor D to prevent alternative pathway-mediated
456:. If the PNH occurs in the setting of known (or suspected) aplastic anemia, abnormal 390: 374: 343: 132: 3002: 2186: 2143: 2126: 2109: 2094: 1444:"Historical aspects of paroxysmal nocturnal haemoglobinuria: 'defining the disease'" 1019: 859:
Paroxysmal nocturnal hemoglobinuria is characterized by red blood cell destruction,
311:. As males have only a single X chromosome and, in females, one is silenced through 4138: 4039: 3851: 3189: 2010: 1325: 644: 612:
used for the treatment of people with paroxysmal nocturnal hemoglobinuria. It is a
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Dmytrijuk A, Robie-Suh K, Cohen MH, Rieves D, Weiss K, Pazdur R (September 2008).
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or similar drugs needs to be continued long-term after an episode of thrombosis.
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Micheli F (1931). "Uno caso di anemia emolitica con emosiderinuria perpetua".
2566: 2170: 1230: 915: 834: 778: 693: 684: 605: 596: 417: 409: 378: 366: 157: 121: 117: 88:) is a rare, acquired, life-threatening disease of the blood characterized by 65: 2574: 2547:"Safety and efficacy of pegcetacoplan in paroxysmal nocturnal hemoglobinuria" 1639: 1394: 1377: 781:
used for the treatment of paroxysmal nocturnal hemoglobinuria (PNH). It is a
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in the bone marrow, all of the cells it produces will also have the defect.
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The most common side effects include injection-site reactions, infections,
365:, erectile dysfunction, and abdominal pain are attributed to the fact that 330:
and has a variety of functions, from destroying invading microorganisms by
2696: 2679: 712:. In people with paroxysmal nocturnal hemoglobinuria, it reduces both the 4147: 3995: 3730: 2426: 891: 849: 790: 786: 583: 576: 473: 461: 453: 3027: 2994: 2733:"FDA approves new treatment for adults with serious rare blood disease" 911: 190: 186: 2926:
Marchiafava E (1928). "Anemia emolitica con emosiderinuria perpetua".
1371: 1369: 765: 3870: 3739: 3218: 3039: 2208:"FDA Approves First Interchangeable Biosimilar for Two Rare Diseases" 1287:"British watchdog wants U.S. biotech Alexion to justify cost of drug" 860: 563: 264: 2869: 2773:
Advancing Health Through Innovation: New Drug Therapy Approvals 2021
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in Latin) in 1928, which has since become the default description.
696:, sold under the brand name Soliris among others, is a recombinant 2647: 2645: 820: 764: 643: 619: 386: 338:. The main proteins that protect blood cells from destruction are 282: 274: 41:
Paroxysmal nocturnal haemoglobinuria, Marchiafava–Micheli syndrome
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This article incorporates text from this source, which is in the
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This article incorporates text from this source, which is in the
2488:"Pegcetacoplan: A Review in Paroxysmal Nocturnal Haemoglobinuria" 2233:
This article incorporates text from this source, which is in the
1110:"Diagnosis and management of paroxysmal nocturnal hemoglobinuria" 531:. PNH abnormalities on flow cytometry without signs of hemolysis. 519:. Evidence of PNH in the absence of another bone marrow disorder. 220:
due to depletion of nitric oxide by red cell breakdown products.
3070: 1803:"Voydeya- danicopan tablet, film coated; Voydeya- danicopan kit" 489: 485: 347: 175:
red discoloration of the urine due to the presence of hemoglobin
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The first description of paroxysmal hemoglobinuria was by the
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PNH is classified by the context under which it is diagnosed:
112:, the red blood cell destruction (hemolysis) is considered an 2727: 2725: 2723: 2202: 2200: 2198: 2196: 990:
Parker CJ (May 2012). "Paroxysmal nocturnal hemoglobinuria".
856:, respiratory tract infection, viral infection, and fatigue. 428:(a breakdown product of hemoglobin), and decreased levels of 523:
PNH in the setting of another specified bone marrow disorder
2821:"Paroxysmal nocturnal hemoglobinuria from bench to bedside" 525:
such as aplastic anemia and myelodysplastic syndrome (MDS).
100:. This destructive process occurs due to deficiency of the 1834: 1832: 1830: 1828: 833:, sold under the brand name Empaveli, among others, is a 2060: 2058: 894:
in PNH, as MDS can sometimes transform into leukemia or
1702:"Japan Becomes Second Market to Approve Roche's Piasky" 1376:
Rother RP, Bell L, Hillmen P, Gladwin MT (April 2005).
1938:"Soliris- eculizumab injection, solution, concentrate" 837:
used to treat paroxysmal nocturnal hemoglobinuria and
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Kumar Vinay; Abbas AK; Fausto N; Mitchell RN (2007).
3017: 4174: 4146: 4027: 4004: 3986: 3934: 3864: 3839: 3771: 3748: 3729: 3720: 3637: 3577: 3528: 3424: 3415: 3288: 3273: 3226: 3217: 3210: 3188: 3181: 3102: 3021: 1512:"Thrombosis in paroxysmal nocturnal hemoglobinuria" 700:used to treat paroxysmal nocturnal hemoglobinuria, 59: 37: 32: 4187:Hyperphosphatasia with mental retardation syndrome 1215:"Diseases of complement dysregulation-an overview" 448:(DAT, or direct Coombs' test) is negative, as the 412:in PNH show changes consistent with intravascular 2678:Liao DS, Metlapally R, Joshi P (September 2022). 1166:"How I treat paroxysmal nocturnal hemoglobinuria" 369:released during hemolysis binds with circulating 200:A small proportion of patients report attacks of 1052:(8th ed.). Saunders Elsevier. p. 652. 279:CD55 protein/Decay Accelerating Factor structure 131:(rather than inherited) intrinsic defect in the 1551:Hall C, Richards S, Hillmen P (November 2003). 127:PNH is the only hemolytic anemia caused by an 4115: 3690: 3155: 2422:"Empaveli- pegcetacoplan injection, solution" 1103: 1101: 1099: 1097: 1095: 1093: 1091: 1089: 8: 3304:Glucose-6-phosphate dehydrogenase deficiency 2653:"Syfovre- pegcetacoplan injection, solution" 1087: 1085: 1083: 1081: 1079: 1077: 1075: 1073: 1071: 1069: 1034:https://doi.org/10.1182/blood-2014-02-522128 1999:The Cochrane Database of Systematic Reviews 1314:The Cochrane Database of Systematic Reviews 777:, sold under the brand name Fabhalta, is a 303:The most common defective enzyme in PNH is 4122: 4108: 4100: 3915:Purine nucleoside phosphorylase deficiency 3763:Transient hypogammaglobulinemia of infancy 3745: 3726: 3697: 3683: 3675: 3660:Hereditary persistence of fetal hemoglobin 3421: 3285: 3223: 3214: 3185: 3162: 3148: 3140: 3018: 944: 942: 70: 46: 29: 3612:Mean corpuscular hemoglobin concentration 3434:Warm antibody autoimmune hemolytic anemia 2844: 2695: 2582: 2513: 2503: 2125: 1647: 1568: 1527: 1510:Hill A, Kelly RJ, Hillmen P (June 2013). 1459: 1393: 1238: 1189: 1159: 1157: 1155: 1153: 1133: 1043: 1041: 966: 608:, sold under the brand name Piasky, is a 1596:"Piasky- crovalimab injection, solution" 951:"PNH from mutations of another PIG gene" 342:(DAF/CD55), which disrupts formation of 1751:was invoked but never defined (see the 1734:was invoked but never defined (see the 938: 4079:Terminal complement pathway deficiency 2043:from the original on 14 September 2019 373:, a substance that is needed to relax 151:Allogeneic bone marrow transplantation 4213:Vascular-related cutaneous conditions 2965:StrĂĽbing-Marchiafava-Micheli syndrome 2467:from the original on 18 February 2023 2326:from the original on 12 December 2023 2296:from the original on 10 December 2023 1881:from the original on 24 February 2024 1850:from the original on 23 February 2024 1418:"Paroxysmal Nocturnal Hemoglobinuria" 927:haemoglobinuria paroxysmalis nocturna 7: 3321:triosephosphate isomerase deficiency 2790:from the original on 6 December 2022 2743:from the original on 17 October 2021 2397:from the original on 10 January 2024 2360:from the original on 21 January 2023 2249:An Outlook on Biosimilar Competition 2247:Bourgoin AF, Nuskey B (April 2015). 1978:from the original on 19 October 2019 1422:The Lecturio Medical Concept Library 1213:Wong EK, Kavanagh D (January 2018). 554:There is disagreement as to whether 436:(immature red cells released by the 350:(CD59/MIRL/MAC-IP), which binds the 267:, is more common in those with PNH. 18:Paroxysmal nocturnal haemoglobinuria 4182:Paroxysmal nocturnal hemoglobinuria 4084:Paroxysmal nocturnal hemoglobinuria 3476:paroxysmal nocturnal hemoglobinuria 3444:Donath–Landsteiner hemolytic anemia 1746: 1729: 82:Paroxysmal nocturnal hemoglobinuria 33:Paroxysmal nocturnal hemoglobinuria 2825:Clinical and Translational Science 2608:Clinical and Experimental Medicine 2551:Therapeutic Advances in Hematology 1915:from the original on 30 April 2024 1877:(Press release). 19 January 2024. 1813:from the original on 25 April 2024 1780:from the original on 30 April 2024 1712:from the original on 18 April 2024 1682:from the original on 18 April 2024 702:atypical hemolytic uremic syndrome 25: 3485:Microangiopathic hemolytic anemia 3456:Mixed autoimmune hemolytic anemia 2434:from the original on 13 July 2021 2212:U.S. Food and Drug Administration 1948:from the original on 9 April 2022 795:Iptacopan was approved by the US 334:to direct destabilization by the 3847:Common variable immunodeficiency 3516:Hemolytic disease of the newborn 2837:10.1111/j.1752-8062.2011.00262.x 2800: 2753: 2228: 2218:from the original on 30 May 2024 1747:Cite error: The named reference 1730:Cite error: The named reference 1461:10.1046/j.1365-2141.2002.03374.x 839:geographic atrophy of the retina 813:This section is an excerpt from 785:inhibitor that was developed by 757:This section is an excerpt from 743:, manufactured, and marketed by 683:This section is an excerpt from 636:This section is an excerpt from 595:This section is an excerpt from 502:fluorescein-labeled proaerolysin 287:CD59 protein/Protectin structure 4019:Idiopathic CD4+ lymphocytopenia 2819:Pu JJ, Brodsky RA (June 2011). 2380:New Drug Therapy Approvals 2023 2346:"Novel Drug Approvals for 2023" 2127:10.1634/theoncologist.2008-0086 1901:"Novel Drug Approvals for 2024" 1766:"Novel Drug Approvals for 2024" 4089:Complement receptor deficiency 3959:Adenosine deaminase deficiency 3449:Paroxysmal cold hemoglobinuria 2737:Food & Drug Administration 2011:10.1002/14651858.CD010340.pub2 1448:British Journal of Haematology 1326:10.1002/14651858.CD010340.pub2 714:destruction of red blood cells 298:glycosyl phosphatidylinositols 90:destruction of red blood cells 55:Intravascular hemolytic anemia 1: 4156:3-Methylglutaconic aciduria 2 2286:"Fabhalta- iptacopan capsule" 992:Current Opinion in Hematology 698:humanized monoclonal antibody 668:proteins on red blood cells. 305:phosphatidylinositol glycan A 120:. Research suggests that PNH 3400:Southeast Asian ovalocytosis 3388:Minkowski–Chauffard syndrome 2870:"Paroxysmale Hämoglobinurie" 2782:Food and Drug Administration 2389:Food and Drug Administration 2352:Food and Drug Administration 2037:Food and Drug Administration 1907:Food and Drug Administration 1772:Food and Drug Administration 1529:10.1182/blood-2012-09-311381 1182:10.1182/blood-2009-03-195966 1004:10.1097/MOH.0b013e328351c348 968:10.1182/blood-2013-06-508556 871:Food and Drug Administration 797:Food and Drug Administration 480:Today, the gold standard is 3758:X-linked agammaglobulinemia 1497:10.1056/NEJM193712022172307 1219:Seminars in Immunopathology 873:(FDA) considers it to be a 733:hemolytic uremic syndrome. 173:The classic sign of PNH is 4234: 3509:Drug-induced nonautoimmune 3490:Thrombotic microangiopathy 3316:pyruvate kinase deficiency 2620:10.1007/s10238-022-00830-3 2505:10.1007/s40265-022-01809-w 1570:10.1182/blood-2003-01-0009 1522:(25): 4985–96, quiz 5105. 1126:10.1182/blood-2005-04-1717 949:Luzzatto L (August 2013). 812: 756: 728:functioning as a terminal 682: 635: 594: 358:from binding to the cell. 261:Cerebral venous thrombosis 4218:Acquired hemolytic anemia 3495:Hemolytic–uremic syndrome 3407:Hereditary stomatocytosis 3395:Hereditary elliptocytosis 2567:10.1177/20406207221114673 2463:(EMA). 6 September 2022. 2461:European Medicines Agency 2171:10.1007/s40265-013-0147-7 1972:European Medicines Agency 1844:European Medicines Agency 1231:10.1007/s00281-017-0663-8 914:physician Paul StrĂĽbing ( 875:first-in-class medication 801:first-in-class medication 474:Ham's acid hemolysis test 340:decay-accelerating factor 259:) and veins of the skin. 227:of the leg and resultant 137:glycophosphatidylinositol 54: 45: 3974:Bare lymphocyte syndrome 3826:Wiskott–Aldrich syndrome 3383:Hereditary spherocytosis 2545:Wong RS (28 July 2022). 2486:Heo YA (December 2022). 2393:(Report). January 2024. 2254:(Report). Archived from 1640:10.1182/blood.2019003399 1442:Parker CJ (April 2002). 1395:10.1001/jama.293.13.1653 1164:Brodsky RA (June 2009). 888:myelodysplastic syndrome 739:Eculizumab (Soliris) is 452:of PNH is not caused by 446:direct antiglobulin test 253:inferior mesenteric vein 4074:Complement 3 deficiency 4059:Complement 4 deficiency 4055:Complement 2 deficiency 3588:Mean corpuscular volume 3552:Diamond–Blackfan anemia 3504:Drug-induced autoimmune 3439:Cold agglutinin disease 3245:Plummer–Vinson syndrome 2786:(Report). 13 May 2022. 1050:Robbins Basic Pathology 745:Alexion Pharmaceuticals 352:membrane attack complex 336:membrane attack complex 317:hematopoietic stem cell 96:, a part of the body's 3240:Iron-deficiency anemia 2886:10.1055/s-0029-1196307 2035:(Press release). U.S. 1732:Crovalimab Piasky EPAR 825: 769: 648: 614:complement component 5 432:; there can be raised 383:pulmonary hypertension 288: 280: 263:, an uncommon form of 245:portal vein thrombosis 243:of the liver (causing 210:pain during swallowing 181:from the breakdown of 4049:Hereditary angioedema 3905:Ataxia–telangiectasia 3750:Hypogammaglobulinemia 3559:Pure red cell aplasia 3326:hexokinase deficiency 2697:10.2217/imt-2022-0078 2561:: 20406207221114673. 2039:(FDA). 27 June 2019. 1974:. 17 September 2018. 867:complement protein C3 841:. Pegcetacoplan is a 824: 768: 647: 460:counts and decreased 422:lactate dehydrogenase 286: 278: 206:difficulty swallowing 160:reduces the need for 4141:metabolism disorders 4069:Properdin deficiency 3890:Di George's syndrome 3773:Dysgammaglobulinemia 3564:Sideroblastic anemia 3372:Hemoglobin C disease 3258:Megaloblastic anemia 2874:Dtsch Med Wochenschr 2739:(FDA). 18 May 2021. 2067:Nature Biotechnology 1846:. 22 February 2024. 1749:Crovalimab Piasky PI 724:. It is a humanized 722:intravenous infusion 710:neuromyelitis optica 328:innate immune system 237:Budd-Chiari syndrome 225:deep vein thrombosis 214:erectile dysfunction 118:blood clot formation 98:innate immune system 3363:Sickle cell disease 2868:StrĂĽbing P (1882). 2356:. 6 December 2023. 2292:. 5 December 2023. 1678:. 8 February 2024. 783:complement factor B 726:monoclonal antibody 610:monoclonal antibody 257:mesenteric ischemia 191:shortness of breath 155:monoclonal antibody 3921:Hyper IgM syndrome 3831:Hyper-IgE syndrome 3796:Hyper IgM syndrome 3712:disorders causing 3650:Sulfhemoglobinemia 3103:External resources 2995:10.1007/BF01846778 2947:G Accad Med Torino 2659:. 23 February 2023 1676:chugai-pharm.co.jp 920:Ettore Marchiafava 826: 770: 664:and deposition of 649: 469:sucrose lysis test 467:Historically, the 289: 281: 229:pulmonary embolism 169:Signs and symptoms 162:blood transfusions 143:disorders such as 110:circulatory system 4195: 4194: 4097: 4096: 3982: 3981: 3881:thymic hypoplasia 3866:T cell deficiency 3860: 3859: 3672: 3671: 3668: 3667: 3655:Reticulocytopenia 3645:Methemoglobinemia 3633: 3632: 3524: 3523: 3464: 3463: 3263:Pernicious anemia 3206: 3205: 3198:Polycythemia vera 3137: 3136: 2989:(43): 2045–2047. 2880:: 1–3 and 17–21. 2498:(18): 1727–1735. 2430:. 13 April 2023. 2322:(Press release). 2165:(18): 2053–2066. 2073:(11): 1256–1264. 1944:. 20 April 2021. 1911:. 29 April 2024. 1059:978-1-4160-2973-1 718:blood transfusion 706:myasthenia gravis 324:complement system 94:complement system 79: 78: 27:Medical condition 16:(Redirected from 4225: 4135:lipid metabolism 4124: 4117: 4110: 4101: 3969:ZAP70 deficiency 3900:Nezelof syndrome 3746: 3727: 3714:immunodeficiency 3699: 3692: 3685: 3676: 3422: 3336:hemoglobinopathy 3286: 3224: 3215: 3186: 3164: 3157: 3150: 3141: 3019: 3007: 3006: 2978: 2972: 2961: 2955: 2954: 2942: 2936: 2935: 2923: 2917: 2916: 2904: 2898: 2897: 2865: 2859: 2858: 2848: 2816: 2810: 2804: 2803: 2799: 2797: 2795: 2777: 2769: 2763: 2757: 2756: 2752: 2750: 2748: 2729: 2718: 2717: 2699: 2690:(13): 995–1006. 2675: 2669: 2668: 2666: 2664: 2649: 2640: 2639: 2603: 2597: 2596: 2586: 2542: 2536: 2535: 2517: 2507: 2483: 2477: 2476: 2474: 2472: 2453: 2444: 2443: 2441: 2439: 2418: 2407: 2406: 2404: 2402: 2384: 2376: 2370: 2369: 2367: 2365: 2342: 2336: 2335: 2333: 2331: 2312: 2306: 2305: 2303: 2301: 2282: 2271: 2270: 2268: 2266: 2260: 2253: 2244: 2238: 2232: 2231: 2227: 2225: 2223: 2204: 2191: 2190: 2154: 2148: 2147: 2129: 2105: 2099: 2098: 2062: 2053: 2052: 2050: 2048: 2029: 2023: 2022: 2005:(10): CD010340. 1994: 1988: 1987: 1985: 1983: 1964: 1958: 1957: 1955: 1953: 1934: 1925: 1924: 1922: 1920: 1897: 1891: 1890: 1888: 1886: 1867: 1861: 1859: 1857: 1855: 1836: 1823: 1822: 1820: 1818: 1809:. 3 April 2024. 1799: 1790: 1789: 1787: 1785: 1776:. 21 June 2024. 1762: 1756: 1750: 1745: 1739: 1733: 1728: 1722: 1721: 1719: 1717: 1708:. 3 April 2024. 1698: 1692: 1691: 1689: 1687: 1668: 1662: 1661: 1651: 1618: 1612: 1611: 1609: 1607: 1592: 1583: 1582: 1572: 1548: 1542: 1541: 1531: 1507: 1501: 1500: 1480: 1474: 1473: 1463: 1439: 1433: 1432: 1430: 1428: 1414: 1408: 1407: 1397: 1373: 1364: 1363: 1361: 1359: 1344: 1338: 1337: 1320:(10): CD010340. 1309: 1303: 1302: 1300: 1298: 1283: 1277: 1276: 1274: 1273: 1259: 1253: 1252: 1242: 1210: 1204: 1203: 1193: 1161: 1148: 1147: 1137: 1120:(12): 3699–709. 1105: 1064: 1063: 1045: 1036: 1030: 1024: 1023: 987: 981: 980: 970: 946: 616:(C5) inhibitor. 458:white blood cell 426:raised bilirubin 414:hemolytic anemia 363:esophageal spasm 361:The symptoms of 104:surface protein 75: 74: 50: 30: 21: 4233: 4232: 4228: 4227: 4226: 4224: 4223: 4222: 4198: 4197: 4196: 4191: 4170: 4142: 4128: 4098: 4093: 4030: 4023: 4011:Lymphocytopenia 4009: 4000: 3978: 3954: 3941: 3930: 3886:hypoparathyroid 3868: 3856: 3835: 3767: 3737: 3716: 3703: 3673: 3664: 3629: 3573: 3532: 3520: 3460: 3411: 3277: 3269: 3202: 3177: 3175:red blood cells 3168: 3138: 3133: 3132: 3098: 3097: 3030: 3016: 3011: 3010: 2983:Klin Wochenschr 2980: 2979: 2975: 2962: 2958: 2944: 2943: 2939: 2925: 2924: 2920: 2906: 2905: 2901: 2867: 2866: 2862: 2818: 2817: 2813: 2801: 2793: 2791: 2775: 2771: 2770: 2766: 2754: 2746: 2744: 2731: 2730: 2721: 2677: 2676: 2672: 2662: 2660: 2651: 2650: 2643: 2605: 2604: 2600: 2559:SAGE Publishing 2544: 2543: 2539: 2485: 2484: 2480: 2470: 2468: 2457:"Aspaveli EPAR" 2455: 2454: 2447: 2437: 2435: 2420: 2419: 2410: 2400: 2398: 2382: 2378: 2377: 2373: 2363: 2361: 2344: 2343: 2339: 2329: 2327: 2314: 2313: 2309: 2299: 2297: 2284: 2283: 2274: 2264: 2262: 2258: 2251: 2246: 2245: 2241: 2229: 2221: 2219: 2214:. 28 May 2024. 2206: 2205: 2194: 2156: 2155: 2151: 2120:(9): 993–1000. 2107: 2106: 2102: 2079:10.1038/nbt1344 2064: 2063: 2056: 2046: 2044: 2031: 2030: 2026: 1996: 1995: 1991: 1981: 1979: 1966: 1965: 1961: 1951: 1949: 1936: 1935: 1928: 1918: 1916: 1899: 1898: 1894: 1884: 1882: 1869: 1868: 1864: 1853: 1851: 1838: 1837: 1826: 1816: 1814: 1801: 1800: 1793: 1783: 1781: 1764: 1763: 1759: 1748: 1742: 1731: 1725: 1715: 1713: 1700: 1699: 1695: 1685: 1683: 1670: 1669: 1665: 1634:(12): 912–920. 1620: 1619: 1615: 1605: 1603: 1594: 1593: 1586: 1563:(10): 3587–91. 1550: 1549: 1545: 1509: 1508: 1504: 1491:(23): 915–918. 1482: 1481: 1477: 1441: 1440: 1436: 1426: 1424: 1416: 1415: 1411: 1388:(13): 1653–62. 1375: 1374: 1367: 1357: 1355: 1346: 1345: 1341: 1311: 1310: 1306: 1296: 1294: 1293:. March 3, 2014 1285: 1284: 1280: 1271: 1269: 1261: 1260: 1256: 1212: 1211: 1207: 1163: 1162: 1151: 1107: 1106: 1067: 1060: 1047: 1046: 1039: 1031: 1027: 989: 988: 984: 961:(7): 1099–100. 948: 947: 940: 935: 908: 896:aplastic anemia 884: 879: 878: 818: 810: 805: 804: 762: 754: 749: 748: 688: 680: 675: 674: 641: 633: 628: 627: 600: 592: 572: 552: 547: 538: 529:Subclinical PNH 510: 498:red blood cells 442:iron deficiency 407: 398:hypoventilation 273: 271:Pathophysiology 183:red blood cells 171: 145:aplastic anemia 135:(deficiency of 69: 28: 23: 22: 15: 12: 11: 5: 4231: 4229: 4221: 4220: 4215: 4210: 4200: 4199: 4193: 4192: 4190: 4189: 4184: 4178: 4176: 4172: 4171: 4169: 4168: 4163: 4160:Barth syndrome 4152: 4150: 4144: 4143: 4129: 4127: 4126: 4119: 4112: 4104: 4095: 4094: 4092: 4091: 4086: 4081: 4076: 4071: 4066: 4064:MBL deficiency 4061: 4052: 4035: 4033: 4025: 4024: 4022: 4021: 4015: 4013: 4002: 4001: 3999: 3998: 3992: 3990: 3984: 3983: 3980: 3979: 3977: 3976: 3971: 3966: 3964:Omenn syndrome 3961: 3945: 3943: 3932: 3931: 3929: 3928: 3909: 3908: 3902: 3893: 3876: 3874: 3862: 3861: 3858: 3857: 3855: 3854: 3849: 3843: 3841: 3837: 3836: 3834: 3833: 3828: 3823: 3817: 3812: 3807: 3802: 3793: 3791:IgM deficiency 3788: 3786:IgG deficiency 3783: 3781:IgA deficiency 3777: 3775: 3769: 3768: 3766: 3765: 3760: 3754: 3752: 3743: 3724: 3718: 3717: 3704: 3702: 3701: 3694: 3687: 3679: 3670: 3669: 3666: 3665: 3663: 3662: 3657: 3652: 3647: 3641: 3639: 3635: 3634: 3631: 3630: 3628: 3627: 3626: 3625: 3620: 3608: 3607: 3606: 3601: 3596: 3583: 3581: 3575: 3574: 3572: 3571: 3566: 3561: 3554: 3549: 3547:Fanconi anemia 3540: 3538: 3526: 3525: 3522: 3521: 3519: 3518: 3512: 3511: 3506: 3500: 3499: 3498: 3497: 3487: 3481: 3480: 3479: 3478: 3465: 3462: 3461: 3459: 3458: 3453: 3452: 3451: 3441: 3436: 3430: 3428: 3419: 3413: 3412: 3410: 3409: 3404: 3403: 3402: 3392: 3391: 3390: 3374: 3369: 3360: 3359: 3358: 3353: 3348: 3331: 3330: 3329: 3328: 3323: 3318: 3306: 3294: 3292: 3283: 3271: 3270: 3268: 3267: 3266: 3265: 3250: 3249: 3248: 3247: 3232: 3230: 3221: 3212: 3208: 3207: 3204: 3203: 3201: 3200: 3194: 3192: 3183: 3179: 3178: 3169: 3167: 3166: 3159: 3152: 3144: 3135: 3134: 3131: 3130: 3128:article/207468 3119: 3107: 3106: 3104: 3100: 3099: 3096: 3095: 3084: 3073: 3062: 3047: 3031: 3026: 3025: 3023: 3022:Classification 3015: 3014:External links 3012: 3009: 3008: 2973: 2956: 2949:(in Italian). 2937: 2930:(in Italian). 2918: 2911:(in Italian). 2899: 2860: 2811: 2764: 2719: 2670: 2641: 2614:(3): 717–726. 2598: 2537: 2478: 2445: 2408: 2371: 2337: 2307: 2272: 2261:on 13 May 2015 2239: 2192: 2149: 2114:The Oncologist 2100: 2054: 2024: 1989: 1968:"Soliris EPAR" 1959: 1926: 1892: 1862: 1840:"Voydeya EPAR" 1824: 1791: 1757: 1740: 1723: 1693: 1663: 1613: 1602:. 28 June 2024 1584: 1543: 1502: 1475: 1434: 1409: 1365: 1339: 1304: 1278: 1254: 1205: 1176:(26): 6522–7. 1149: 1065: 1058: 1037: 1025: 982: 937: 936: 934: 931: 907: 904: 883: 880: 854:abdominal pain 819: 811: 809: 806: 789:. It is taken 763: 755: 753: 750: 704:, generalized 689: 681: 679: 676: 642: 634: 632: 629: 601: 593: 591: 588: 571: 568: 551: 548: 546: 543: 537: 534: 533: 532: 526: 520: 509: 508:Classification 506: 482:flow cytometry 406: 403: 313:X-inactivation 272: 269: 202:abdominal pain 170: 167: 102:red blood cell 77: 76: 63: 57: 56: 52: 51: 43: 42: 39: 35: 34: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4230: 4219: 4216: 4214: 4211: 4209: 4208:Rare diseases 4206: 4205: 4203: 4188: 4185: 4183: 4180: 4179: 4177: 4173: 4167: 4164: 4161: 4157: 4154: 4153: 4151: 4149: 4145: 4140: 4136: 4132: 4125: 4120: 4118: 4113: 4111: 4106: 4105: 4102: 4090: 4087: 4085: 4082: 4080: 4077: 4075: 4072: 4070: 4067: 4065: 4062: 4060: 4056: 4053: 4050: 4046: 4042: 4041: 4037: 4036: 4034: 4032: 4026: 4020: 4017: 4016: 4014: 4012: 4007: 4003: 3997: 3994: 3993: 3991: 3989: 3985: 3975: 3972: 3970: 3967: 3965: 3962: 3960: 3957: 3953: 3950: 3947: 3946: 3944: 3940: 3937: 3933: 3926: 3922: 3919: 3918: 3917: 3916: 3913: 3906: 3903: 3901: 3897: 3896:euparathyroid 3894: 3891: 3887: 3884: 3882: 3878: 3877: 3875: 3872: 3867: 3863: 3853: 3850: 3848: 3845: 3844: 3842: 3838: 3832: 3829: 3827: 3824: 3821: 3818: 3816: 3813: 3811: 3808: 3806: 3803: 3801: 3797: 3794: 3792: 3789: 3787: 3784: 3782: 3779: 3778: 3776: 3774: 3770: 3764: 3761: 3759: 3756: 3755: 3753: 3751: 3747: 3744: 3741: 3736: 3732: 3728: 3725: 3723: 3719: 3715: 3711: 3707: 3700: 3695: 3693: 3688: 3686: 3681: 3680: 3677: 3661: 3658: 3656: 3653: 3651: 3648: 3646: 3643: 3642: 3640: 3636: 3624: 3621: 3619: 3616: 3615: 3614: 3613: 3609: 3605: 3602: 3600: 3597: 3595: 3592: 3591: 3590: 3589: 3585: 3584: 3582: 3580: 3576: 3570: 3569:Myelophthisic 3567: 3565: 3562: 3560: 3556: 3555: 3553: 3550: 3548: 3544: 3541: 3539: 3536: 3531: 3527: 3517: 3514: 3513: 3510: 3507: 3505: 3502: 3501: 3496: 3493: 3492: 3491: 3488: 3486: 3483: 3482: 3477: 3474: 3473: 3472: 3471: 3467: 3466: 3457: 3454: 3450: 3447: 3446: 3445: 3442: 3440: 3437: 3435: 3432: 3431: 3429: 3427: 3423: 3420: 3418: 3414: 3408: 3405: 3401: 3398: 3397: 3396: 3393: 3389: 3386: 3385: 3384: 3381: 3379: 3375: 3373: 3370: 3368: 3364: 3361: 3357: 3354: 3352: 3349: 3347: 3344: 3343: 3342: 3339: 3337: 3333: 3332: 3327: 3324: 3322: 3319: 3317: 3314: 3313: 3312: 3311: 3307: 3305: 3302: 3300: 3296: 3295: 3293: 3291: 3287: 3284: 3281: 3276: 3272: 3264: 3261: 3260: 3259: 3255: 3252: 3251: 3246: 3243: 3242: 3241: 3237: 3234: 3233: 3231: 3229: 3225: 3222: 3220: 3216: 3213: 3209: 3199: 3196: 3195: 3193: 3191: 3187: 3184: 3180: 3176: 3172: 3165: 3160: 3158: 3153: 3151: 3146: 3145: 3142: 3129: 3125: 3124: 3120: 3118: 3114: 3113: 3109: 3108: 3105: 3101: 3094: 3090: 3089: 3085: 3083: 3079: 3078: 3074: 3072: 3068: 3067: 3063: 3061: 3057: 3056: 3052: 3048: 3046: 3042: 3041: 3037: 3033: 3032: 3029: 3024: 3020: 3013: 3004: 3000: 2996: 2992: 2988: 2985:(in German). 2984: 2977: 2974: 2971: 2970:Who Named It? 2967: 2966: 2960: 2957: 2952: 2948: 2941: 2938: 2933: 2929: 2922: 2919: 2914: 2910: 2903: 2900: 2895: 2891: 2887: 2883: 2879: 2876:(in German). 2875: 2871: 2864: 2861: 2856: 2852: 2847: 2842: 2838: 2834: 2831:(3): 219–24. 2830: 2826: 2822: 2815: 2812: 2808: 2807:public domain 2789: 2785: 2783: 2774: 2768: 2765: 2761: 2760:public domain 2742: 2738: 2734: 2728: 2726: 2724: 2720: 2715: 2711: 2707: 2703: 2698: 2693: 2689: 2685: 2684:Immunotherapy 2681: 2674: 2671: 2658: 2654: 2648: 2646: 2642: 2637: 2633: 2629: 2625: 2621: 2617: 2613: 2609: 2602: 2599: 2594: 2590: 2585: 2580: 2576: 2572: 2568: 2564: 2560: 2556: 2552: 2548: 2541: 2538: 2533: 2529: 2525: 2521: 2516: 2511: 2506: 2501: 2497: 2493: 2489: 2482: 2479: 2466: 2462: 2458: 2452: 2450: 2446: 2433: 2429: 2428: 2423: 2417: 2415: 2413: 2409: 2396: 2392: 2390: 2381: 2375: 2372: 2359: 2355: 2353: 2347: 2341: 2338: 2325: 2321: 2317: 2311: 2308: 2295: 2291: 2287: 2281: 2279: 2277: 2273: 2257: 2250: 2243: 2240: 2236: 2235:public domain 2217: 2213: 2209: 2203: 2201: 2199: 2197: 2193: 2188: 2184: 2180: 2176: 2172: 2168: 2164: 2160: 2153: 2150: 2145: 2141: 2137: 2133: 2128: 2123: 2119: 2115: 2111: 2104: 2101: 2096: 2092: 2088: 2084: 2080: 2076: 2072: 2068: 2061: 2059: 2055: 2042: 2038: 2034: 2028: 2025: 2020: 2016: 2012: 2008: 2004: 2000: 1993: 1990: 1977: 1973: 1969: 1963: 1960: 1947: 1943: 1939: 1933: 1931: 1927: 1914: 1910: 1908: 1902: 1896: 1893: 1880: 1876: 1872: 1866: 1863: 1849: 1845: 1841: 1835: 1833: 1831: 1829: 1825: 1812: 1808: 1804: 1798: 1796: 1792: 1779: 1775: 1773: 1767: 1761: 1758: 1754: 1744: 1741: 1737: 1727: 1724: 1711: 1707: 1703: 1697: 1694: 1681: 1677: 1673: 1667: 1664: 1659: 1655: 1650: 1645: 1641: 1637: 1633: 1629: 1625: 1617: 1614: 1601: 1597: 1591: 1589: 1585: 1580: 1576: 1571: 1566: 1562: 1558: 1554: 1547: 1544: 1539: 1535: 1530: 1525: 1521: 1517: 1513: 1506: 1503: 1498: 1494: 1490: 1486: 1479: 1476: 1471: 1467: 1462: 1457: 1453: 1449: 1445: 1438: 1435: 1423: 1419: 1413: 1410: 1405: 1401: 1396: 1391: 1387: 1383: 1379: 1372: 1370: 1366: 1353: 1349: 1343: 1340: 1335: 1331: 1327: 1323: 1319: 1315: 1308: 1305: 1292: 1288: 1282: 1279: 1268: 1264: 1258: 1255: 1250: 1246: 1241: 1236: 1232: 1228: 1224: 1220: 1216: 1209: 1206: 1201: 1197: 1192: 1187: 1183: 1179: 1175: 1171: 1167: 1160: 1158: 1156: 1154: 1150: 1145: 1141: 1136: 1131: 1127: 1123: 1119: 1115: 1111: 1104: 1102: 1100: 1098: 1096: 1094: 1092: 1090: 1088: 1086: 1084: 1082: 1080: 1078: 1076: 1074: 1072: 1070: 1066: 1061: 1055: 1051: 1044: 1042: 1038: 1035: 1029: 1026: 1021: 1017: 1013: 1009: 1005: 1001: 997: 993: 986: 983: 978: 974: 969: 964: 960: 956: 952: 945: 943: 939: 932: 930: 928: 923: 921: 917: 913: 905: 903: 899: 897: 893: 889: 881: 876: 872: 868: 864: 862: 857: 855: 851: 846: 844: 840: 836: 832: 831:Pegcetacoplan 828: 823: 816: 815:Pegcetacoplan 808:Pegcetacoplan 807: 802: 798: 794: 792: 788: 784: 780: 776: 772: 767: 760: 751: 746: 742: 738: 734: 731: 727: 723: 719: 716:and need for 715: 711: 707: 703: 699: 695: 691: 686: 677: 672: 669: 667: 666:complement C3 663: 659: 655: 651: 646: 639: 630: 625: 621: 617: 615: 611: 607: 603: 598: 589: 587: 585: 580: 578: 569: 567: 565: 561: 557: 550:Acute attacks 549: 544: 542: 535: 530: 527: 524: 521: 518: 515: 514: 513: 507: 505: 503: 499: 495: 491: 487: 483: 478: 476: 475: 470: 465: 463: 459: 455: 451: 447: 443: 439: 435: 434:reticulocytes 431: 427: 423: 419: 415: 411: 404: 402: 399: 394: 392: 391:heart failure 388: 384: 380: 376: 375:smooth muscle 372: 368: 364: 359: 357: 354:and prevents 353: 349: 345: 344:C3-convertase 341: 337: 333: 329: 325: 320: 318: 314: 310: 306: 301: 299: 295: 285: 277: 270: 268: 266: 262: 258: 254: 250: 246: 242: 238: 234: 230: 226: 221: 219: 218:smooth muscle 215: 212:, as well as 211: 207: 203: 198: 196: 192: 188: 184: 180: 176: 168: 166: 163: 159: 156: 152: 148: 146: 142: 138: 134: 133:cell membrane 130: 125: 123: 119: 115: 114:intravascular 111: 107: 103: 99: 95: 91: 87: 83: 73: 67: 64: 62: 58: 53: 49: 44: 40: 36: 31: 19: 4181: 4139:Phospholipid 4131:Inborn error 4083: 4040:C1-inhibitor 4038: 3955: 3948: 3911: 3910: 3895: 3885: 3879: 3852:ICF syndrome 3618:normochromic 3610: 3586: 3475: 3468: 3376: 3334: 3308: 3297: 3190:Polycythemia 3121: 3110: 3086: 3075: 3064: 3049: 3034: 2986: 2982: 2976: 2963: 2959: 2950: 2946: 2940: 2931: 2928:Policlinico 2927: 2921: 2912: 2909:Policlinico 2908: 2902: 2877: 2873: 2863: 2828: 2824: 2814: 2792:. Retrieved 2779: 2767: 2745:. Retrieved 2687: 2683: 2673: 2661:. Retrieved 2656: 2611: 2607: 2601: 2554: 2550: 2540: 2495: 2491: 2481: 2469:. Retrieved 2436:. Retrieved 2425: 2399:. Retrieved 2386: 2374: 2362:. Retrieved 2349: 2340: 2328:. Retrieved 2319: 2310: 2298:. Retrieved 2289: 2263:. Retrieved 2256:the original 2242: 2220:. Retrieved 2211: 2162: 2158: 2152: 2117: 2113: 2103: 2070: 2066: 2045:. Retrieved 2027: 2002: 1998: 1992: 1980:. Retrieved 1971: 1962: 1950:. Retrieved 1941: 1917:. Retrieved 1904: 1895: 1883:. Retrieved 1874: 1865: 1852:. Retrieved 1843: 1815:. Retrieved 1806: 1782:. Retrieved 1769: 1760: 1743: 1726: 1714:. Retrieved 1706:Navlin Daily 1705: 1696: 1684:. Retrieved 1675: 1666: 1631: 1627: 1616: 1604:. Retrieved 1599: 1560: 1556: 1546: 1519: 1515: 1505: 1488: 1485:N Engl J Med 1484: 1478: 1451: 1447: 1437: 1425:. Retrieved 1421: 1412: 1385: 1381: 1356:. Retrieved 1351: 1342: 1317: 1313: 1307: 1295:. Retrieved 1290: 1281: 1270:. Retrieved 1266: 1257: 1225:(1): 49–64. 1222: 1218: 1208: 1173: 1169: 1117: 1113: 1049: 1028: 998:(3): 141–8. 995: 991: 985: 958: 954: 926: 924: 909: 900: 885: 882:Epidemiology 858: 847: 829: 827: 773: 771: 735: 692: 690: 670: 652: 650: 604: 602: 581: 573: 560:prednisolone 553: 539: 528: 522: 516: 511: 479: 472: 466: 408: 395: 371:nitric oxide 360: 332:opsonization 321: 309:X chromosome 302: 290: 233:hepatic vein 222: 199: 195:palpitations 172: 149: 128: 126: 113: 85: 81: 80: 3912:peripheral: 3623:hypochromic 3579:Blood tests 3341:Thalassemia 3299:enzymopathy 3228:Nutritional 3112:MedlinePlus 2747:18 February 2471:18 February 2364:10 December 2300:10 December 1885:24 February 1875:AstraZeneca 1854:24 February 1606:5 September 1454:(1): 3–22. 1427:2 September 845:inhibitor. 517:Classic PNH 438:bone marrow 430:haptoglobin 410:Blood tests 389:and causes 294:glycolipids 241:portal vein 179:hemosiderin 141:bone marrow 38:Other names 4202:Categories 4045:Angioedema 4031:deficiency 4029:Complement 4006:Leukopenia 3956:autosomal: 3710:complement 3604:macrocytic 3599:microcytic 3594:normocytic 3557:Acquired: 3543:Hereditary 3310:glycolysis 3290:Hereditary 3088:DiseasesDB 2934:: 105–117. 2915:: 241–254. 2794:22 January 2553:(Review). 2330:6 December 1272:2018-11-29 933:References 916:Greifswald 843:complement 835:medication 779:medication 730:complement 694:Eculizumab 685:Eculizumab 678:Eculizumab 658:complement 606:Crovalimab 597:Crovalimab 590:Crovalimab 454:antibodies 418:hemoglobin 379:sildenafil 367:hemoglobin 158:eculizumab 122:thrombosis 66:Hematology 3949:x-linked: 3275:Hemolytic 3123:eMedicine 2894:260089988 2714:250731980 2636:248245151 2575:2040-6215 2532:254149706 2401:9 January 1753:help page 1736:help page 775:Iptacopan 759:Iptacopan 752:Iptacopan 741:developed 662:hemolysis 654:Danicopan 638:Danicopan 631:Danicopan 624:Genentech 570:Long-term 558:(such as 545:Treatment 536:Screening 450:hemolysis 420:, raised 405:Diagnosis 348:protectin 255:(causing 235:(causing 61:Specialty 4148:Tafazzin 3996:HIV/AIDS 3988:Acquired 3939:combined 3731:Antibody 3706:Lymphoid 3533:(mostly 3530:Aplastic 3470:membrane 3417:Acquired 3378:membrane 3278:(mostly 3171:Diseases 3003:30149910 2855:21707954 2788:Archived 2741:Archived 2706:35860926 2657:DailyMed 2628:35441351 2593:35923770 2524:36459381 2515:10234880 2465:Archived 2432:Archived 2427:DailyMed 2395:Archived 2358:Archived 2324:Archived 2320:Novartis 2294:Archived 2290:DailyMed 2216:Archived 2187:36682579 2179:24249647 2144:21972428 2136:18784156 2095:22732675 2087:17989688 2041:Archived 2019:25356860 1976:Archived 1946:Archived 1942:DailyMed 1919:30 April 1913:Archived 1879:Archived 1848:Archived 1817:25 April 1811:Archived 1807:DailyMed 1778:Archived 1710:Archived 1686:18 April 1680:Archived 1658:31978221 1600:DailyMed 1579:12893760 1538:23610373 1470:11918528 1404:15811985 1334:25356860 1249:29327071 1200:19372253 1144:16051736 1020:21266914 1012:22395662 977:23950173 892:leukemia 850:diarrhea 791:by mouth 787:Novartis 584:warfarin 577:warfarin 556:steroids 462:platelet 296:such as 249:superior 129:acquired 3735:humoral 3722:Primary 3082:D006457 2846:3128433 2735:. U.S. 2584:9340389 2265:29 June 2047:28 June 1982:9 April 1952:9 April 1784:21 June 1716:21 June 1649:7082616 1297:June 6, 1291:Reuters 1240:5794843 1191:2710914 1135:1895106 906:History 444:). 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Index

Paroxysmal nocturnal haemoglobinuria

Specialty
Hematology
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destruction of red blood cells
complement system
innate immune system
red blood cell
DAF
circulatory system
blood clot formation
thrombosis
cell membrane
glycophosphatidylinositol
bone marrow
aplastic anemia
Allogeneic bone marrow transplantation
monoclonal antibody
eculizumab
blood transfusions
red discoloration of the urine due to the presence of hemoglobin
hemosiderin
red blood cells
fatigue
shortness of breath
palpitations
abdominal pain
difficulty swallowing
pain during swallowing

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