Evidence map›Paper›PMID 41994904›Full record

ArticleEuropean journal of haematology2026

Bone Marrow Pathology in Cold Agglutinin-Mediated Autoimmune Hemolytic Anemia: A Study of 56 Cases.

Anne-Marie L Becking, Sophie J Bernelot Moens, Marie José Kersten, Femke V M Mulder, Steven T Pals, Lianne Koens, Josephine M I Vos

Abstract read
In one paragraph

Article in European journal of haematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Cold agglutinin disease.British journal of haematology · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anne-Marie L BeckingAmsterdam University Medical Centers, Department of Hematology, University of Amsterdam, Cancer Center Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0009-0004-2942-9385
Sophie J Bernelot MoensAmsterdam University Medical Centers, Department of Hematology, University of Amsterdam, Cancer Center Amsterdam, Amsterdam, the Netherlands.
Marie José KerstenAmsterdam University Medical Centers, Department of Hematology, University of Amsterdam, Cancer Center Amsterdam, Amsterdam, the Netherlands.
Femke V M MulderSanquin Research and Landsteiner Laboratory of the Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0003-0939-6948
Steven T PalsLymphoma and Myeloma Center Amsterdam (LYMMCARE), Amsterdam, the Netherlands.
Lianne KoensAmsterdam University Medical Centers, Department of Pathology, University of Amsterdam, Cancer Center Amsterdam, Amsterdam, the Netherlands.
Josephine M I VosAmsterdam University Medical Centers, Department of Hematology, University of Amsterdam, Cancer Center Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0003-3229-9556

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cold agglutinin disease (CAD) is a rare form of autoimmune hemolytic anemia (AIHA). CAD occurs in the context of a small clonal B-cell lymphoproliferation restricted to blood and/or bone marrow (BM), without overt or extramedullary lymphoma. The WHO-HAEM5 introduced a description of the CAD-associated lymphoproliferative disorder (CAD-LPD) in the BM as a desirable criterium for CAD. Still, data on BM pathology underlying CAD remain scarce. We assessed the clinical and pathologic characteristics of a large patient cohort with cold-type AIHA. A total of 85 BM biopsies of 56 patients were evaluated. In 10 patients (18%), pathology revision revealed other overt B-cell malignancies leading to a diagnosis of cold agglutinin syndrome. In the remaining 46, evidence for B-cell clonality was found in the vast majority (45; 98%), manifesting as a paraproteinemia and/or clonal B-cells or plasma cells in BM. Most of these 45 had an M-protein (89%), evidence of monoclonal B-cells and/or plasma cells in BM tissue (89%), and were MYD88 wild-type (100%). Surprisingly, while ancillary methods detected clonality in the majority (84%), only 5 (11%) of 45 CAD cases strictly fulfilled the WHO-HAEM5 morphological description for CAD-LPD. These data imply that sensitive techniques should be used in BM evaluation in CAD.

Indexed as

Anemia, Hemolytic, AutoimmuneBone MarrowAdolescentAdultAgedAged, 80 and overBiomarkersBiopsyB-LymphocytesCryoglobulinsFemaleHumansMaleMiddle AgedYoung AdultBiomarkerscold agglutininsCryoglobulinsautoimmune hemolytic anemiabone marrowcold agglutinin diseasemonoclonal gammopathy of clinical significancenon‐Hodgkin lymphomaWHO classification

Identifiers

PMID41994904
PMCPMC13326785

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.