How do you manage a patient with transfusion-dependent MDS with concurrent hemochromatosis requiring phlebotomy?

Topics: Myelodysplastic Syndromes • Hematology • Benign Hematology • transfusion • Iron Homeostasis

Answer from: Medical Oncologist at Academic Institution

I actually have a couple patients like this. If the ferritin is >1500, I add deferasirox. However, if MDS is responsive to ESAs, you might be able to manage with occasional phlebotomies. It's a tough problem.

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