Category:CTCAE4 Blood and lymphatic system disorders

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Adverse Event Grade1 Grade2 Grade3 Grade4 Grade5
Anemia Hemoglobin (Hgb) <LLN - 10.0 g/dL; <LLN - 6.2 mmol/L; <LLN - 100 g/L Hgb <10.0 - 8.0 g/dL; <6.2 - 4.9 mmol/L; <100 - 80g/L Hgb <8.0 - 6.5 g/dL; <4.9 - 4.0 mmol/L; <80 - 65 g/L; transfusion indicated Life-threatening consequences; urgent intervention indicated Death
Blood and lymphatic system disorders - Other, specify Asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental ADL Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of existing hospitalization indicated; disabling; limiting self care ADL Life-threatening consequences; urgent intervention indicated Death
Bone marrow hypocellular Mildly hypocellular or <=25% reduction from normal cellularity for age Moderately hypocellular or >25 - <50% reduction from normal cellularity for age Severely hypocellular or >50 - <=75% reduction cellularity from normal for age Aplastic persistent for longer than 2 weeks Death
Disseminated intravascular coagulation - Laboratory findings with no bleeding Laboratory findings and bleeding Life-threatening consequences; urgent intervention indicated Death
Febrile neutropenia - - Present Life-threatening consequences; urgent intervention indicated Death
Hemolysis Laboratory evidence of hemolysis only (e.g., direct antiglobulin test; DAT; Coombs'; schistocytes; decreased haptoglobin) Evidence of hemolysis and >=2 gm decrease in hemoglobin, no transfusion Transfusion or medical intervention indicated (e.g., steroids) Life-threatening consequences; urgent intervention indicated Death
Hemolytic uremic syndrome Evidence of RBC destruction (schistocytosis) without clinical consequences - Laboratory findings with clinical consequences (e.g., renal insufficiency, petechiae) Life-threatening consequences, (e.g., CNS hemorrhage or thrombosis/embolism or renal failure) Death
Leukocytosis - - >100,000/mm3 Clinical manifestations of leucostasis; urgent intervention indicated Death
Lymph node pain Mild pain Moderate pain; limiting instrumental ADL Severe pain; limiting self care ADL - -
Spleen disorder Incidental findings (e.g., Howell-Jolly bodies); mild degree of thrombocytosis and leukocytosis Prophylactic antibiotics indicated - Life-threatening consequences; urgent intervention indicated Death
Thrombotic thrombocytopenic purpura Evidence of RBC destruction (schistocytosis) without clinical consequences - Laboratory findings with clinical consequences (e.g., renal insufficiency, petechiae) Life-threatening consequences, (e.g., CNS hemorrhage or thrombosis/embolism or renal failure) Death
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