“…Notably, ND was associated with significantly adverse survival outcomes in patients with MDS in multivariate analyses (hazard ratio, 1.79; 95% CI, 1.03-3.09; P = .04), although other studies found that overall prognosis was more closely related to the IPSS (International Prognostic Scoring System) category than to the underlying autoimmune process . In addition, PG has been reported to be associated with lenalidomide, an immunomodulatory drug that is commonly used to treat MDS, multiple myeloma, and lymphomas, although the exact frequency of PG associated with lenalidomide remains to be determined.…”