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Abstract #4083

EXTRAMEDULLARY HEMATOPOIESIS IS ASSOCIATED WITH A THALASSAEMIA INTERMEDIA-LIKE PATTERN OF MYOCARDIAL AND LIVER IRON LOADING IN REGULARLY POLYTRANSFUSED THALASSAEMIA PATIENTS

Antonella Meloni 1 , Paolo Ricchi 2 , Paolo Preziosi 3 , Vincenzo Positano 1 , Maria Chiara Resta 4 , Gennaro Restaino 5 , Antonino Vallone 6 , Maria Giovanna Neri 1 , Graziella Filati 7 , Anna Pietrapertosa 8 , Petra Keilberg 1 , and Alessia Pepe 1

1 CMR Unit, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy, 2 UOSD Centro per le Microcitemie, AORN Cardarelli, Napoli, Italy, 3 U.O.C. Diagnostica per Immagini e Interventistica, Policlinico Casilino", Roma, Italy, 4 Struttura Complessa di Radiologia, OSP. SS. Annunziata ASL Taranto, Taranto, Italy, 5 Istituto di Radiologia, Universit Cattolica del Sacro Cuore, Campobasso, Italy, 6 Istituto di Radiologia, Az. Osp. "Garibaldi" Presidio Ospedaliero Nesima, Catania, Italy, 7 Pediatria, Ospedale G. Da Saliceto, Piacenza, Italy, 8 Policlinico di Bari, Servizio Regionale Talassemie, Bari, Italy

In a large cohort of regularly transfused thalassemia patients, the presence of extramedullary hematopoiesis (EMH) assessed by MRI was not rare. EMH was associated to a heart thalassemia intermedia like pattern (reduced cardiac iron loading and stigmata of high cardiac output state) despite the transfusional regimen

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