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How do you manage myelodysplastic syndrome in elderly?

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Managing myelodysplastic symptoms in elderly patients involves patient observation, supportive care strategies and curative strategies, notes "Managing myelodysplastic symptoms in elderly patients" by Ria et al. A majority of patients suffering from this disorder are over the age of 55. Some patients react well to supportive care, while others react to curative strategies.

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Patient observation coupled with regular blood cell counts is necessary in these patients, states Ria et al. These regular checkups prevent the progression of the disease to more severe forms.

Patients suffering from myelodysplastic symptoms often suffer from severe anemia, says Ria et al. Managing anemia in this condition requires the use of supportive care strategies. These strategies include red blood cell transfusion and iron chelation therapy. Transfusion therapy is for treatment of anemia-related symptoms. Iron chelation therapy on the other hand works to reduce the iron overload. Iron overload occurs after blood transfusion therapy. Iron chelation therapy helps avoid organ damage.

Treatment strategies for this condition include the use of high-dose chemotherapy, notes Ria et al. Hematopoietic stem cell therapy also works for four out of ten patients. Physicians can also use growth factors to treat elderly patients with a low risk of the condition. Hormonal therapy can also be effective in improving the hematologic parameters in these patients.

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