Accumulation and proliferation of immature myeloid cells

  • Median presenting age 69
  • Features of Bone marrow failure (Anaemia, severe opportunistic infections, easy bruising and haemorrhage (thrombocytopenia)), fatigue, gum hypertrophy
  • NPM-1 good FLT3-ITD bad
  • Treatment with intensive chemo, then Bone marrow transplant in vunerable, then FLT3 receptor inhibitors

Complications include:

  • Bleeding
  • Neutropenic Sepsis - from chemo, broad spec antibiotics

Poor overall prognosis and worsens with age. Most common type in adults