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Kenneth Kaushansky
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y/
Kenneth Kaushansky
Marshall A. Lichtman
Josef T. Prchal
Marcel Levi
Linda J. Burns
David C . Linch
WILLIAMS
Hematology
10th Edition https://t.me/mebooksfree
Catalog
Cover.pdf ···················································································································································· 1
Copyright.pdf ·············································································································································· 2
Notice.pdf ···················································································································································· 3
Editors.pdf ··················································································································································· 4
Contributors.pdf ·········································································································································· 6
Preface.pdf ················································································································································ 34
Abbreviations and acronyms.pdf ··············································································································· 36
Contents.pdf ·············································································································································· 79
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Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge,
changes in treatment and drug therapy are required. The authors and the publisher of this work have
checked with sources believed to be reliable in their efforts to provide information that is complete and
generally in accord with the standards accepted at the time of publication. However, in view of the
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information contained herein is in every respect accurate or complete, and they disclaim all responsibility
for any errors or omissions or for the results obtained from use of the information contained in this work.
Readers are encouraged to confirm the information contained herein with other sources. For example and
in particular, readers are advised to check the product information sheet included in the package of each
drug they plan to administer to be certain that the information contained in this work is accurate and that
changes have not been made in the recommended dose or in the contraindications for administration. This
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Josef T. Prchal, MD
Linda J. Burns, MD
Milwaukee, Wisconsin
Professor of Medicine
Professor of Medicine
University of Amsterdam
Top
Amsterdam, The Netherlands
Professor of Haematology
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Division of Oncology
Department of Medicine
Stanford University
Stanford, California
Associate Professor
Houston, Texas
Department of Medicine
Division of Dermatology
Department of Pediatrics
Houston, Texas
Professor of Medicine
Division of Gastroenterology
Galveston, Texas
Boston, Massachusetts
Donald West and Mary Elizabeth King Professor and Chair of Pathology
University of Chicago
Chicago, Illinois
Boston, Massachusetts
Dallas, Texas
Department of Medicine
Professor
CiberCV
Barcelona, Spain
Professor
Division of Hematology
Columbus, Ohio
President
Houston, Texas
Farmington, Connecticut
Pediatric Hematologist
Van Creveldkliniek
Utrecht University
La Jolla, California
Professor of Hematology
Division of Hematology
Villejuif, France
Dallas, Texas
Instructor in Medicine
Associate Physician
Boston, Massachusetts
Division of Hematology
Columbus, Ohio
Department of Hematology
Copenhagen, Denmark
Assistant Professor
Assistant Professor
Division of Hematology
Columbus, Ohio
University of Utah
University of Bologna
Bologna, Italy
Virginia C. Broudy, MD [80]
Seattle, Washington
Division of Hematology
Mayo Clinic
Rochester, Minnesota
Amsterdam UMC
University of Amsterdam
Milwaukee, Wisconsin
Columbus, Ohio
Hematopathopathology Section
University of Barcelona
Barcelona, Spain
Division of Hematology
Philadelphia, Pennsylvania
Martin P. Carroll, MD [13]
Department of Medicine
University of Pennsylvania
Philadelphia, Pennsylvania
Professor
Hematology Department
Montpellier, France
Staff Physician
Faculty of Medicine
Geneva, Switzerland
Clinical Director
Associate Professor
Boston, Massachusetts
Lymphoma Service
University of Rochester
Professor Medicine
Boston, Massachusetts
Clinical Director
Bethesda, Maryland
School of Pathology
Associate Professor
University of Minnesota
Minneapolis, Minnesota
Head, Allen and Frances Adler Laboratory of Blood and Vascular Biology
Rockefeller University
Amsterdam UMC
University of Amsterdam
Professor
Professor of Medicine
Seattle, Washington
Scientific Director
Philadelphia, Pennsylvania
Indianapolis, Indiana
Emory University
Atlanta, Georgia
Michael Dickinson, MBBS (Hons), DMedSci, FRACP, FRCPA [97]
University of Melbourne
Melbourne, Australia
Division of Hematology
Mayo Clinic
Rochester, Minnesota
Medical Student
Worcester, Massachusetts
University of Pennsylvania
Philadelphia, Pennsylvania
Professor of Pediatrics
Chair, Pediatrics
University of Pennsylvania
Philadelphia, Pennsylvania
Professor of Medicine
LMU Hospital
Munich, Germany
Distinguished Scientist
Professor
Vancouver, Canada
Professor
Director
Houston, Texas
Director of Hematopathology
Atlanta, Georgia
Boston, Massachusetts
Vitalant
Phoenix, Arizona
Professor
Leuven, Belgium
Associate Professor
Department of Pathology
Columbus, Ohio
University of Rochester
Department of Medicine
Stanford, California
Department of Medicine
University of Washington
Seattle, Washington
Cleveland, Ohio
Division of Hematology
Mayo Clinic
Rochester, Minnesota
Department of Dermatology
Postdoctoral Scientist
Seattle, Washington
Section of Hematology/Oncology
Department of Medicine
Chicago, Illinois
Philadelphia, Pennsylvania
Hematopathopathology Section
University of Barcelona
Barcelona, Spain
Professor of Medicine
University of Illinois
Chicago, Illinois
Professor of Medicine
Division of Hematology
Stanford, California
Professor of Medicine
Professor of Oncology
Richmond, Virginia
Sacramento, California
Professor Emeritus
Division of Hematology
Columbus, Ohio
Bethesda, Maryland
Department of Pediatrics;
Department of Physiology
McGill University
Professor
University of Washington;
Chief of Medicine
Seattle, Washington
Clinical Fellow
Mayo Clinic
Rochester, Minnesota
Professor
Instructor in Medicine
Boston, Massachusetts
Boston, Massachusetts
Calgary, Canada
Naples, Italy
Division of Hematology
Boston, Massachusetts
Associate Member
Bloodworks
University of Washington
Seattle, Washington
Boston, Massachusetts
Associate Professor
Department of Pediatrics
School of Medicine
University of Washington;
Seattle, Washington
Kenneth Kaushansky, MD, MACP [3, 16, 17, 84, 110, 115, 116, 118]
University of Michigan
Columbus, Ohio
Division of Hematology/Oncology
Nashville, Tennessee
Professor of Immunology
University of Amsterdam
Professor of Medicine
Augusta University
Augusta, Georgia
Professor of Medicine
Rochester, Minnesota
Vitalant
Phoenix, Arizona
Section of Hematology/Oncology
Department of Medicine
Chicago, Illinois
Professor
Professor of Medicine
Section of Hematology/Oncology
Department of Medicine
Chicago, Illinois
Section of Hematology/Oncology
Department of Medicine
Chicago, Illinois
Department of Pharmacy
Boston, Massachusetts
Professor of Hematology
Department of Hematology
Department of Pharmacy
Boston, Massachusetts
Marcel Levi, MD, PhD, FRCP [3, 18, 32, 113, 115, 120, 121, 127]
Professor of Medicine
Professor of Medicine
University of Amsterdam
Professor of Anesthesiology
University of Kentucky
Lexington, Kentucky
Marshall A. Lichtman, MD, MACP [1, 3, 36, 54, 62, 69, 70, 82, 85, 87, 88, 105]
Professor of Haematology
Department of Surgery
Department of Pediatrics
Emory University
Atlanta, Georgia
Department of Pathology
Columbus, Ohio
Senior Hematologist
Washington, DC
Fabienne Lucas, MD, PhD [76]
Department of Pathology
Boston, Massachusetts
Department of Haematology
Cancer Institute
Department of Haematology
Cancer Institute
Columbus, Ohio
Department of Pediatrics
Houston, Texas
Edina, Minnesota;
Emeritus Professor
University of Minnesota
Minneapolis, Minnesota
Assistant Professor
Department of Medicine
Division of Oncology
Hospital Clinic
University of Barcelona
Barcelona, Spain
Marzia Menegatti, BSc, PhD [123]
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico and Fondazione Luigi Villa
Milan, Italy
Associate Professor
University of Washington;
Section Chief
Assistant Professor
Seattle, Washington
Bethesda, Maryland
Professor
Amsterdam UMC
University of Amsterdam
Houston, Texas
Assistant Professor
Philadelphia, Pennsylvania
Section of Hematopathology
Sacramento, California
Department of Bioengineering
Rice University
Houston, Texas
Narla Mohandas, DSc [33]
Houston, Texas
Dallas, Texas
Assistant Professor
Department of Pathology
Birmingham, Alabama
Associate Attending
Lymphoma Service
Department of Medicine
Division of Oncology
Department of Medicine
Stanford University
Stanford, California
Northwestern University
Chicago, Illinois
Professor, Hematology
Columbus, Ohio
Boston, Massachusetts
Division of Hematology/Oncology
Dallas, Texas
Professor
Geneva, Switzerland
Professor of Medicine
Stanford, California
Bethesda, Maryland
Professor of Pediatrics
University of Washington
Seattle, Washington
Boston, Massachusetts
Department of Haematology
University of Cambridge
Professor of Medicine
CiberCV
Barcelona, Spain
Professor of Pediatrics
Professor of Medicine
Department of Medicine
Director
Milan, Italy
Division of Hematology
Department of Medicine
Professor of Pediatrics
Philadelphia, Pennsylvania
Department of Physiology
Philadelphia, Pennsylvania
Jacqueline N. Poston, MD [139]
Department of Medicine
University of Washington
Seattle, Washington
Director
Department of Oncology
Josef T. Prchal, MD [3, 34, 35, 51, 58, 60, 83, 85]
Department of Haematology
Department of Haematology
Professor of Medicine
Boston, Massachusetts
Temple University
Philadelphia, Pennsylvania
Philadelphia, Pennsylvania
Birmingham, Alabama
Minneapolis, Minnesota
Jerusalem, Israel
Stanford, California
Boston, Massachusetts
Lymphoma Program
CEINGE
Biotecnologie Avanzate
Naples, Italy
Gustave Roussy
Université Paris-Saclay
Villejuif, France
McMaster University
General Surgery
Columbus, Ohio
Professor
Department of Haematology
Cardiometabolic Programme
Assistant Professor
Department of Medicine
Division of Hematology-Oncology
Professor of Medicine
Department of Hematology
Professor
University of Melbourne
Melbourne, Australia
Houston, Texas
Division of Hematology/Oncology
Mayo Clinic
Jacksonville, Florida
Department of Pediatrics
Division of Hematology
Stanford, California
Senior Lecturer
Department of Haematology
Fellow
Department of Medicine
University of Pennsylvania
Philadelphia, Pennsylvania
Physician Investigator
University of Kentucky
Lexington, Kentucky
Professor of Haematology
Saint-Herblain, France
Division of Oncology
Department of Medicine
Stanford University
Stanford, California
Boston, Massachusetts
Emory University
Atlanta, Georgia
Professor of Medicine
University of Utah
Bethesda, Maryland
Houston, Texas
Department of Dermatology
Professor of Medicine
Director
Boston, Massachusetts
Bethesda, Maryland
Professor of Hematology
Division of Hematology
Villejuif, France
Hematologist
Van Creveldkliniek
Utrecht University
Associate Professor
University of Amsterdam
Associate Professor
Utrecht University
Vitalant
Scottsdale, Arizona;
Clinical Professor
Department of Pathology
Fellow PhD
Seattle, Washington
CiberCV
Barcelona, Spain
Professor of Medicine
Department of Medicine
Rochester, Minnesota
Pathology Fellow
Hematopathopathology Section
University of Barcelona
Barcelona, Spain
Worcester, Massachusetts
Boston, Massachusetts
Professor of Hematology
University to Tubingen
Tubingen, Germany
Lexington, Kentucky
Bethesda, Maryland
Instructor, Hematology/Oncology
Richmond, Virginia
University of Bologna
Bologna, Italy
Jerusalem, Israel
*Deceased.
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Preface
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The first edition of Williams Hematology (né Hematology) was published in 1972. This, our 10th edition,
represents our continued efforts over one-half century to provide the most current concepts of the genetic
The rate of growth in our understanding of diseases of blood cells and coagulation pathways has justified,
indeed mandated, the effort of the editors to publish periodic major revisions in this comprehensive
textbook of hematology. The sequencing of patient genomes and advances in knowledge in epigenetics,
proteomics, and metabolomics, as applied to hematologic disorders, have accelerated the understanding
of the pathogenesis of the diseases of our interest and provided new pathways to treatment. Advances in
our dissection of molecular and cellular biology and immunology have translated into improved
diagnostic and therapeutic methods. Customizing immunotherapy to attack tumor cell antigens and
identifying specific molecular targets for therapy in several hematologic disorders have, as anticipated,
become reality. Gene therapy is being implemented to cure selected, monogenic, inherited hematologic
diseases, such as hemophilia A and B. Sickle cell anemia is a disease about which we have known more
than almost any other genetic disorder, yet we have been unable to modulate, significantly, its horrific
impact on patients. Finally, we may be edging toward a dramatic improvement in therapy by preventing
postnatal blood. Other promising approaches to gene therapy are also being studied in sickle cell anemia
and thalassemia. CRISPR-Cas9 methodology has been a singular application in several of these gene-
editing approaches. Hematology continues to be the poster child for the rational design of therapeutics
This edition of Williams Hematology endeavors to facilitate access to information, both within the book
and its associated links. Each chapter has been revised or rewritten to provide current information. To
reflect the increased application of immunotherapy, chapters on this important topic have been added,
including Chapter 22, "Immune Checkpoint Inhibitors"; Chapter 23, "Immune Cell Therapy: Chimeric
Antigen Receptor T-Cell Therapy"; and Chapter 24, "Immune Cell Therapy: Dendritic Cell and Natural Killer
Cell Therapy," along with the revised and updated Chapter 25, "Vaccine Therapy." A new Chapter 12,
"Application of Big Data and Deep Learning in Hematology" has been introduced.
At the center of diagnostic hematology is blood and marrow cell morphology. Thus, we have continued the
incorporation of informative color images representing the relevant diseases in each chapter, allowing
The 10th edition of Williams Hematology is also available online as part of the excellent
www.accessmedicine.com website. With direct links to a comprehensive drug therapy database and to
other important medical texts, including Harrison's Principles of Internal Medicine and Goodman &
Gilman's The Pharmacological Basis of Therapeutics, Williams Hematology Online is part of a
comprehensive resource covering all disciplines within medical education and practice. The online edition
of Williams Hematology also includes PubMed links to journal articles cited in the references. New in this
online edition is the presentation of clinical cases for readers to explore, each linked to the relevant
disease-oriented chapter.
The companion handbook, Williams Manual of Hematology, will be revised to reflect the diagnostic and
therapeutic advances entered into the 10th edition of Williams Hematology. The Manual features the most
salient clinical content from the parent text and is useful in time-restricted clinical situations. The Manual
will be available for the iPhone and other mobile formats. It has been particularly useful for physicians
studying for the American Board of Internal Medicine Certification in Hematology and comparable other
The production of this book required the timely cooperation of 233 contributors for the writing or revising
of 140 chapters. We are grateful for their insight and work in providing this comprehensive and up-to-date
text. Despite the growth of both basic and clinical knowledge and the passion that each of our contributors
brings to the topic of their chapter, we have been able to maintain the text in a single volume through
The editorial board has lost the experience and intellect of Oliver W. Press, who died from a malignant
brain tumor in 2017 and who had joined the board as the expert in lymphopoiesis and lymphoma for the
9th edition. His contributions to the field and to his institution, The Fred Hutchinson Cancer Center, were
singular.
The readers of the 10th edition of Williams Hematology will note the expanding international participation
in the text with the addition of Professor David Linch, University College, London, who is the editor for the
biology and diseases of lymphocytes and the lymphoma sections. Thus, the 10th edition has two of its six
editors from the United Kingdom and chapter authors from Belgium, Canada, France, Germany, Israel,
Italy, Netherlands, South Africa, Spain, Switzerland, and the United Kingdom in addition to the United
States. The preparation of this edition of Williams Hematology required our authors throughout Europe,
other international sites, and the United States to remain dedicated to their task despite the impact of the
new strain of coronavirus (SARS-CoV-2) infection and its dissemination as coronavirus disease, first
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α/β TCR T-cell-receptor genes encoding the α and β chains of the T-cell receptor
β2GPI β2-glycoprotein I
β2M β2-microglobulin
βTG β-thromboglobulin
γ/δ TCR T-cell-receptor genes encoding the γ and δ chains of the T-cell receptor
[3H]Thd [3H]thymidine
111In indium-111
15N nitrogen
2,3-BPG 2,3-bisphosphoglycerate
2-HG 2-hydroxyglutarate
2-ME 2-mercaptoethanol
2OG 2-oxoglutarate
50Cr chromium-50
51Cr chromium-51
5-caC 5-carobxycytosine
5-fC 5-formylcytosine
5hmC 5-hydroxymethylcytosine
5mC 5-methylcytosine
6-MP 6-mercaptopurine
6-TG 6-thioguanine
8-MOP 8-methoxypsoralen
A adenine
AA arachadonic acid
aCL anticardiolipin
AD autosomal dominant
AdoCbl adenosylcobalamin
AF ALL1-fused gene
AGM aorta-gonad-mesonephros
AI anemia of inflammation
AK adenylate kinase
AngII angiotensin II
ANK Ankyrin
presenting cell
aPL antiphospholipid
Apo apolipoprotein
apo-B apolipoprotein B
AQP1 aquaporin 1
ara-C cytarabine
ara-U arabinosyluracil
ARSA arylsulfatase A
ASCT allogeneic stem cell transplantation; autologous hematopoietic stem cell transplantation;
AT antithrombin; ataxia-telangiectasia
ATAC-seq uses the hyperactive Tn5 transposase to simultaneously fragment and add sequencing
AZT azidothymidine
BC buffy coat
BCL B-cell lymphoma family of regulator proteins that regulate cell death
BCL11A a critical switching factor for silencing gamma globin; B-cell lymphoma/leukemia 11A
BCL11A B-Cell CLL/Lymphoma 11A; B-cell lymphoma/leukemia oncogene important for □ to β globin
switching
procarbazine, prednisone
BJ Bence Jones
BL Burkitt lymphoma
BLINK B-cell linker protein; BLM, the causative gene of Bloom syndrome
BM bone marrow
bp base pair
BPG bisphosphoglycerate
BS Bloom syndrome
BV brentuximab vedotin
C15ORF41 gene encoding a protein with two predicted helix-turn-helix domains of unknown function
CALASP calaspargase
CALR calreticulin
CD20 a cluster of differentiation molecule expressed on the surface of all mature B cells
CDC cell-dependent cytotoxicity; Centers for Disease Control and Prevention; complement-dependent
cytotoxicity
CE cholesterol ester
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