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Anemia, Clotting & Blood Disorders • ICD-10-CM D46.9

Myelodysplastic Syndromes

Also known as: MDS, Disorder, Syndrome, Diseases, Condition

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM D46.9 • 8 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Myelodysplastic Syndromes Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Myelodysplastic Syndromes?

Your bone marrow is the spongy tissue inside some of your bones, such as your hip and thigh bones. It contains immature cells, called stem cells. The stem cells can develop into the red blood cells that carry oxygen through your body, the white blood cells that fight infections, and the platelets that help with blood clotting. If you have a myelodysplastic syndrome, the stem cells do not mature into healthy blood cells. Many of them die in the bone marrow. This means that you do not have enough healthy cells, which can lead to infection, anemia , or easy bleeding.

Pathophysiology, Underlying Causes & Clinical Presentation

Tissue-level etiology in Myelodysplastic Syndromes (D46.9) features primary platelet/megakaryocyte dysregulation in Myelodysplastic Syndromes (D46.9: or inherited/acquired coagulation). Cross-referenced with NIH MeSH (Myelodysplastic Syndromes), therapeutic stabilization in blood & anemia is verified against Vitamin B12, Folate in Myelodysplastic Syndromes (D46.9: & Reticulocyte Count).

Common Symptoms & Clinical Signs

  • • Shortness of breath
  • • Weakness or feeling tired
  • • Presentation of Myelodysplastic Syndromes (D46.9): restless legs, ice in Myelodysplastic Syndromes (D46.9: craving)
  • • Secondary Myelodysplastic Syndromes clinical sign: easy bruising, prolonged in Myelodysplastic Syndromes (D46.9: bleeding from minor)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Myelodysplastic Syndromes Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code D46.9 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Anemia, Clotting & Blood Disorders NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Serum Ferritin & in Myelodysplastic Syndromes (D46.9: Transferrin Saturation) Ferritin 50–150 ng/mL; TSAT 20%–45% (D46.9) Clinical Reference Target Range
Diagnostic / Lab Marker: Vitamin B12, Folate in Myelodysplastic Syndromes (D46.9: & Reticulocyte Count) B12 > 500 pg/mL; appropriate marrow response (D46.9) Clinical Reference Target Range
Diagnostic / Lab Marker: Platelet Count & in Myelodysplastic Syndromes (D46.9: PT/INR / aPTT) Platelets 150–400 x10^3/uL (D46.9) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Myelodysplastic Syndromes

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Treatment selection for Myelodysplastic Syndromes depends on clinical severity, diagnostic lab results, and medical history. Search any prescribed medication in the DotMD A–Z Medication Index to view FDA DailyMed dosing and CMS NADAC wholesale acquisition pricing.

Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Myelodysplastic Syndromes)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Roxadustat versus placebo for patients with lower-risk myelodysplastic syndrome:: What a 272-Participant Study Found

Despite MATTERHORN not meeting its primary endpoint, a numerically higher TI rate was achieved with roxadustat treatment compared with placebo.

American journal of hematology • 2024-09-15 • Phase III Randomized Trial
N = 272 93/100 PMID 38884137 ↗
Can This Approach Help? Inside the Latest Research on Phase I Clinical Trial of SyB C-1101 in Patients With Myelodysplastic Syndrome -

Registered in the U.S.

ClinicalTrials.gov Registry (NIH NLM) • 2014-12-01 • Completed Human Clinical Trial (NCT)
N = 1 89/100 PMID NCT02002936 ↗
Can This Approach Help? Inside the Latest Research on Roxadustat for the treatment of anemia in patients with lower-risk

There were no fatalities or progression to acute myeloid leukemia.

American journal of hematology • 2022-02-01 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 34724251 ↗
Can This Approach Help? Inside the Latest Research on Imetelstat improves patient-reported outcomes and quality of life in lower-risk

37%, 41%, and 44%, respectively; P<0.001, P=0.004, and P=0.002) and QOL across different measures of response (43-53% vs.

Haematologica • 2026-07-01 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 41568521 ↗
Can This Approach Help? Inside the Latest Research on Modulation of the clonal burden in patients with lower-risk myelodysplastic

Lastly, 60% of patients with ≥1-year RBC-TI had ≥50% reduction in telomerase activity/human telomerase reverse transcriptase RNA.

Leukemia • 2026-02-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 41526614 ↗
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