Short answer · Medically reviewed summary · Last updated: 2026-04-07
Paroxysmal nocturnal hemoglobinuria (PNH) is primarily known by its official name, though it is historically and clinically referred to as Marchiafava-Micheli syndrome or Strübing-Marchiafava syndrome. While these historical terms appear in older medical literature, "Paroxysmal nocturnal hemoglobinuria" is the internationally accepted standard used by clinicians, researchers, and global health organizations today. What are the historical and alternative names for Paroxysmal nocturnal hemoglobinuria? The naming of Paroxysmal nocturnal hemoglobinuria has evolved significantly since it was first described in the late 19th and early 20th centuries.
Paroxysmal nocturnal hemoglobinuria (PNH) is primarily known by its official name, though it is historically and clinically referred to as Marchiafava-Micheli syndrome or Strübing-Marchiafava syndrome. While these historical terms appear in older medical literature, "Paroxysmal nocturnal hemoglobinuria" is the internationally accepted standard used by clinicians, researchers, and global health organizations today.
The naming of Paroxysmal nocturnal hemoglobinuria has evolved significantly since it was first described in the late 19th and early 20th centuries. Historically, the condition was frequently called Marchiafava-Micheli syndrome, named after the Italian physicians Ettore Marchiafava and Ferdinando Micheli, who provided detailed clinical descriptions in the 1910s. In some European medical traditions, you may also encounter the term Strübing-Marchiafava syndrome, recognizing the earlier observations of Paul Strübing in 1882. Occasionally, older texts might refer to the condition as "paroxysmal hemoglobinuria with hemosiderinuria" or simply "PNH," which remains the most common abbreviation used in modern clinical practice.
The existence of multiple names for Paroxysmal nocturnal hemoglobinuria is primarily due to the practice of "eponymization," where medical syndromes were named after the physicians who first identified or characterized them. As medical understanding shifted from descriptive names based on symptoms to mechanistic names based on pathophysiology, the field moved toward the current terminology. The name Paroxysmal nocturnal hemoglobinuria is descriptive: "paroxysmal" refers to episodic occurrences, "nocturnal" reflects the historical observation of dark urine in the morning, and "hemoglobinuria" describes the presence of hemoglobin in the urine caused by red blood cell destruction.
To ensure consistency in medical records and research, global health organizations use specific classification codes for Paroxysmal nocturnal hemoglobinuria:
Modern hematologists and oncologists almost exclusively use the term Paroxysmal nocturnal hemoglobinuria. Using the official name is essential for ensuring that medical records, insurance claims, and clinical trial documents are processed accurately. While the PNH community at DiseaseMaps.org, which currently includes 162 members, uses the standard terminology, understanding the historical names is helpful for patients conducting literature reviews or reviewing older medical records from previous decades.
Medical disclaimer: This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment; always seek the advice of your physician or other qualified health provider with any questions regarding a medical condition.