Refractory anemia with ring sideroblasts (RARS) is a type of myelodysplastic syndrome (MDS) that affects the bone marrow, where new blood cells are produced. It is characterized by the presence of abnormal red blood cells, called ring sideroblasts, in the bone marrow. These cells have an unusual accumulation of iron granules around their nuclei, which can be seen under a microscope.
RARS is a rare type of MDS, accounting for about 5% of all MDS cases. It is more common in older adults, with a median age of diagnosis of 70 years. Men are more likely to develop RARS than women.
The exact cause of RARS is unknown, but it is believed to be a result of genetic mutations that affect the production of red blood cells in the bone marrow. Risk factors for developing RARS include exposure to certain chemicals, such as benzene and pesticides, and previous chemotherapy or radiation therapy.
Common symptoms of RARS include fatigue, weakness, shortness of breath, and pale skin. Some patients may also experience an enlarged spleen or liver. RARS is often diagnosed through a blood test that shows low levels of red blood cells, hemoglobin, and hematocrit, as well as the presence of ring sideroblasts in the bone marrow.
There is currently no cure for RARS, but there are treatment options available that can help manage the symptoms and improve quality of life. Treatment may include blood transfusions, iron chelation therapy to remove excess iron from the body, and medications to stimulate the production of new red blood cells.
If you or a loved one have been diagnosed with RARS, it is important to work closely with your healthcare team to develop a personalized treatment plan that meets your individual needs. With proper treatment and management, many patients with RARS can lead full and active lives.
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