. ▁ ▁Tre at ment ▁ ▁The ▁one ▁known ▁cur ative ▁treatment ▁is ▁al log ene ic ▁stem ▁cell ▁trans plant ation , ▁but ▁this ▁approach ▁involves ▁significant ▁ris ks . ▁Other ▁treatment ▁options ▁are ▁largely ▁support ive , ▁and ▁do ▁not ▁alter ▁the ▁course ▁of ▁the ▁dis order ▁( with ▁the ▁possible ▁exception ▁of ▁r ux olit in ib , ▁as ▁discussed ▁below ). ▁These ▁options ▁may ▁include ▁regular ▁fol ic ▁acid , ▁al lop ur in ol ▁or ▁blood ▁trans f us ions . ▁D ex am eth as one , ▁alpha - inter fer on ▁and ▁hydro xy ure a ▁( also ▁known ▁as ▁hydro xy car b am ide ) ▁may ▁play ▁a ▁role . ▁ ▁Len al id om ide ▁and ▁th al id om ide ▁may ▁be ▁used ▁in ▁its ▁treatment , ▁though ▁peri pher al ▁ne urop ath y ▁is ▁a ▁common ▁troubles ome ▁side - effect . ▁ ▁Fre quent ▁blood ▁trans f us ions ▁may ▁also ▁be ▁required . ▁If ▁the ▁patient ▁is ▁di ab etic ▁and ▁is ▁taking ▁a ▁sul fony l ure a , ▁this ▁should ▁be ▁stopped ▁period ically ▁to ▁rule ▁out ▁drug - indu ced ▁th rom b oc yt open ia . ▁ ▁S pl en ect omy ▁is ▁sometimes ▁considered ▁as ▁a ▁treatment ▁option ▁for ▁patients ▁with ▁my el of ib ros is ▁in ▁whom ▁massive ▁spl en om eg aly ▁is ▁contrib uting ▁to ▁an a emia ▁because ▁of ▁hyp ers pl en ism , ▁particularly ▁if