Pathophysiological Characteristics of Myelodysplastic Syndromes in Patients Residing in Brazzaville, Republic of Congo

Main Article Content

Nsonde Ntandou Gelase Fredy
Govi Kikonda Divine Bervalle

Abstract

Myelodysplastic syndromes (MDS) are rare hematological malignancies often affecting the elderly. Globally, this disease accounts for 13% of cancerous blood diseases. MDS is generated by bone marrow dysfunction characteristic of ineffective hematopoiesis and the disorder of exogenous factors, including vitamin B12. The objective of this work is to study the pathophysiological characteristics of myelodysplastic syndromes in patients living in Brazzaville. The calculation of the hospital frequency of MDS, the haemogram, the myelogram, the selective grouping of blood cells by the cell profiler software, as well as the dosage of Vitamin B12, are the methods that allowed the realization of this work. Thus, the hospital frequency of MDS in Brazzaville is 4, 92%; the pathophysiological characteristics of MDS are marked by the morphological appearance of blood cells which reveals mostly the presence of metamyelocytes with banded nuclei and pleicaryocytes; The excess or deficiency of Vitamin B12 observed in MDS, is not responsible for its unexpected occurrence, it is therefore appropriate to remember that MDS contribute to the deformation of immune cells and that VIT B12 has no close relationship with the development of MDS.

Article Details

Fredy, N. N. G., & Bervalle, G. K. D. (2026). Pathophysiological Characteristics of Myelodysplastic Syndromes in Patients Residing in Brazzaville, Republic of Congo. Journal of Hematology and Clinical Research, 008–015. https://doi.org/10.29328/journal.jhcr.1001040
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Copyright (c) 2026 Fredy NNG, et al.

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Afsaneh B, Mikael A. Myelodysplastic syndromes: a practical approach to diagnosis and treatment. Cleve Clin J Med. 2010;77(1). Available from: https://doi.org/10.3949/ccjm.77a.09069

Germing U, Kobbe G, Haas R, Gattermann N. Myelodysplastic syndromes: diagnosis, prognosis, and treatment. Dtsch Arztebl Int. 2013;110(46):783–790. Available from: https://doi.org/10.3238/arztebl.2013.0783

Maynadié M, Girodon F, Manivet-Janoray I, Mounier M, Mugneret F, Bailly F, et al. Twenty-five years of epidemiological recording on myeloid malignancies: data from the specialized registry of hematologic malignancies of Côte d’Or (Burgundy, France). Haematologica. 2011;96(1):55–61. Available from: https://doi.org/10.3324/haematol.2010.026252

Rollison DE, Howlader N, Smith MT, Strom SS, Merritt WD, Ries LA, et al. Epidemiology of myelodysplastic syndromes and chronic myeloproliferative disorders in the United States, 2001–2004, using data from the NAACCR and SEER programs. Blood. 2008;112(1):45–52. Available from: https://doi.org/10.1182/blood-2008-01-134858

Arber DA, Orazi A, Hasserjian R, Thiele J, Borowitz MJ, Le Beau MM, et al. The 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia. Blood. 2016;127(20):2391–2405. Available from: https://doi.org/10.1182/blood-2016-03-643544

Belakehal S, Bekadja S, Touhami H, Hamladji RM, Mesli N. Epidemiological approach to myelodysplastic syndromes in Algeria (1995–2005): a cooperative and multicenter study. 2006. SAHTs.

Provan D, Gribben JG. Molecular hematology. 2nd ed. Blackwell Publishing; 2005;268.

Bryon PA. Anatomy and histology of the bone marrow. EMC Hematology. 1998;10. Article 13-92000-M-80.

Sebahaum G, Troussard X. Cytology and histology of the bone marrow. Hematology. Elsevier Masson SAS; 2010. Article 13-000-a-30.

Turhan AG, Humphries RK, Phillips GL. Clonal hematopoiesis demonstrated by X-linked DNA polymorphisms after allogeneic bone marrow transplantation. N Engl J Med. 1989;320:1655–1661. Available from: https://doi.org/10.1056/nejm198906223202504

Hillman RS, Ault KA, Rinder K. Hematology in clinical practice: a guide to diagnosis and treatment. French ed. Flammarion SA; 2007. Available from: https://books.google.co.in/books?id=yfFLAQAAIAAJ&lr=&num=20&source=gbs_book_other_versions_r&cad=3

Hamri L. Myelodysplastic syndromes (about 21 cases). 2015;35–40.

Tefferi A, Vardiman JW. Myelodysplastic syndromes. N Engl J Med. 2009;361(19):1872–1885. Available from: https://doi.org/10.1056/nejmra0902908

Ross MH, Wilson KJ. Anatomy and physiology in health and illness. 11th ed. Elsevier Masson; 2019;60–68. Available from: https://pharmabookbank.wordpress.com/wp-content/uploads/2019/03/1.2.ross-wilson-anatomy-and-physiology.pdf

Lessard M, Gervais C, Struski S. Cytogenetic abnormalities of myelodysplastic syndromes and secondary acute leukemias. Pathol Biol (Paris). 2003;51(6):356–365.

National Institute of Statistics. Preliminary results of the 5th General Population and Housing Census. RGPH-5 report. December 2023.

Brechemier D. Impact of comorbidities on the prognosis of patients over 75 years of age treated with azacitidine for high-risk myelodysplastic syndrome or acute myeloblastic leukemia. June 2014;24.

Dewulf G, Gouin I, Pautas E, Gaussem P, Chaïbi P, Andreux JP, et al. Myelodysplastic syndromes diagnosed in a geriatric hospital: cytological profile of 100 patients. Ann Biol Clin (Paris). 2004;62(2):197–202. Available from: https://pubmed.ncbi.nlm.nih.gov/15047472/

Feger F, Vainchenker W. Hematopoiesis and growth factors. EMC Hematology. 1997:1–10. Article 13-000-M-85.

Lorand-Metze I, Ribeiro E, Lima CSP, Suárez L, Batista K, Metze K. Detection of hematopoietic maturation abnormalities by flow cytometry in myelodysplastic syndromes and its utility for the differential diagnosis with non-clonal disorders. Leuk Res. 2007;31:147–155. Available from: https://doi.org/10.1016/j.leukres.2006.04.010

Kaushansky K, Lichtman MA, Beutler E, Kipps TJ, Seligsohn U, Prchal JT. Williams hematology. 8th ed. McGraw-Hill Companies; 2010;1523.

Najman A, Verdy E, Potron G, Isnard F. Handbook of blood diseases. Vol. I. Marketing Edition; 1994.