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Comprehensive Protocol to Sample and Process Bone Marrow for Measuring Measurable Residual Disease and Leukemic Stem Cells in Acute Myeloid Leukemia
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How to exhaust your bone marrow.

Louise Salomo1, Morten Salomo, Steven A W Andersen

  • 1Department of Nephrology, University of Copenhagen, Rigshospitalet, Copenhagen, Denmark. Louise@salomo.dk

BMJ Case Reports
|July 2, 2013
PubMed
Summary

Excessive physical activity and insufficient nutrition led to gelatinous bone marrow transformation in a healthy man. This rare condition, typically seen in severe illness, highlights the risks of overtraining and inadequate dietary intake.

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Area of Science:

  • Sports Medicine
  • Hematology
  • Nutrition Science

Background:

  • Overtraining syndrome can impact physiological markers, necessitating a deeper understanding of its hematological consequences.
  • Gelatinous bone marrow transformation (GBMT) is a rare finding typically associated with critical illness or severe malnutrition.

Observation:

  • A 32-year-old male presented with edema and weight gain, later developing moderate pancytopenia.
  • Despite a normal Body Mass Index (BMI) and high energy/protein intake, the patient engaged in excessive physical activity.
  • Bone marrow biopsy revealed gelatinous bone marrow transformation.

Findings:

  • The patient's condition was attributed to overtraining syndrome combined with relatively insufficient nutrition.
  • This case suggests that extreme physical exertion, even with adequate BMI, can induce GBMT.

Implications:

  • Highlights the potential for overtraining and nutritional imbalances to cause significant hematological changes.
  • Suggests GBMT may occur in contexts beyond critical illness or severe malnutrition.
  • Underscores the importance of balanced nutrition and appropriate training loads in athletes and physically active individuals.