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Primary myelofibrosis is a disorder where scar tissue (fibrosis) accumulates in the bone marrow, which is responsible for blood cell production. This fibrosis impairs the bone marrow's ability to produce sufficient healthy blood cells. The resulting deficiency in blood cells leads to the various signs and symptoms associated with the condition.
In the early stages, many individuals with primary myelofibrosis experience no noticeable signs or symptoms. However, as the fibrosis progresses, it can result in a decrease in the number of red blood cells, white blood cells, and platelets. A deficiency in red blood cells (anemia) commonly manifests as severe fatigue or shortness of breath. Reduced white blood cell counts can increase susceptibility to infections, while a decrease in platelets can cause easy bleeding or bruising.
Due to the disruption of blood cell formation (hematopoiesis) within the bone marrow, other organs, such as the spleen or liver, may start producing blood cells. This process, known as extramedullary hematopoiesis, frequently results in an enlarged spleen (splenomegaly) or an enlarged liver (hepatomegaly). Individuals with splenomegaly may experience abdominal pain or a sensation of fullness, particularly beneath the ribs on the left side. Other frequent signs and symptoms of primary myelofibrosis include fever, night sweats, and bone pain.
Primary myelofibrosis is most often diagnosed in individuals between the ages of 50 and 80, although it can occur at any age.
Typically, this condition is not passed down through families. Instead, it stems from gene mutations that arise in early blood-forming cells after conception. These changes are known as somatic mutations.
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