Connective tissue diseases combined with chronic myelomonocytic leukemia and myelofibrosis: a case report and literature review - Takeaways - MDSpire

Connective tissue diseases combined with chronic myelomonocytic leukemia and myelofibrosis: a case report and literature review

  • By

  • Hai-Qin Yin

  • Sha Jin

  • Yao Fu

  • Hui-Ling Zhu

  • Xue-Fei Li

  • May 14, 2026

  • 0 min

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  • 1

    Chronic myelomonocytic leukemia (CMML) is a clonal hematopoietic disorder often associated with autoimmune diseases and secondary myelofibrosis.

  • 2

    A 52-year-old male patient with recurrent arthritis and fever was diagnosed with connective tissue disease (CTD) complicated by CMML and advanced myelofibrosis.

  • 3

    The patient underwent a dual-target treatment regimen of azacytidine and ruxolitinib, leading to significant improvement in symptoms and laboratory findings.

  • 4

    CMML patients frequently experience systemic inflammatory disorders, complicating diagnosis and treatment due to overlapping symptoms.

  • 5

    This case highlights the importance of recognizing the interplay between autoimmune diseases and hematologic malignancies for effective management.

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