Symptoms
By Mayo Clinic staffMyelofibrosis usually develops slowly. In its very early stages, many people don't experience signs or symptoms. But as disruption of normal blood cell production increases, signs and symptoms may include:
- Feeling tired, weak or short of breath, usually because of anemia
- Pain or fullness below your ribs on the left side, due to enlarged spleen
- Enlarged liver
- Pale skin
- Easy bruising
- Easy bleeding
- Excessive sweating during sleep (night sweats)
- Fever
- Frequent infections
- Bone pain
When to see a doctor
Make an appointment with your doctor if you have any persistent signs and symptoms that worry you.
- Hoffman R, et al. Primary myelofibrosis. In: Hoffman R, et al. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2009. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-443-06715-0..X5001-8--TOP&isbn=978-0-443-06715-0&uniqId=230100505-56. Accessed Dec. 29, 2010.
- Mesa RA. New drugs for the treatment of myelofibrosis. Current Hematologic Malignancy Reports. 2010;5:15.
- Alchalby H, et al. Reduced-intensity conditioning followed by allogenic hematopoietic stem cell transplantation in myelofibrosis. Current Hematologic Malignancy Reports. 2010;5:53.
- Idiopathic myelofibrosis. Leukemia & Lymphoma Society. http://www.leukemia-lymphoma.org/attachments/National/br_1190656475.pdf. Accessed Dec. 30, 2010.
- Thorium. Agency for Toxic Substances and Disease Registry. http://www.atsdr.cdc.gov/toxfaqs/tfacts147.pdf. Accessed Dec. 30, 2010.
- Jakafi (prescribing information). Wilmington, Del.: Incyte Corporation; 2011. http://www.accessdata.fda.gov/scripts/cder/drugsatfda. Accessed Nov. 23, 2011.
- Stein BL, et al. Janus kinase inhibitors: An update on the progress and promise of targeted therapy in the myeloproliferative neoplasms. Current Opinion in Oncology. 2011;23:609.


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