scholarly journals Diamond–Blackfan anaemia: understanding an old disease

2020 ◽  
Vol 190 (1) ◽  
pp. 14-15
Author(s):  
Antonis Kattamis
PLoS ONE ◽  
2015 ◽  
Vol 10 (9) ◽  
pp. e0138200 ◽  
Author(s):  
Serena Macrì ◽  
Elisa Pavesi ◽  
Rossella Crescitelli ◽  
Anna Aspesi ◽  
Claudia Vizziello ◽  
...  

1997 ◽  
Vol 16 (4) ◽  
pp. 368-371 ◽  
Author(s):  
Peter Gustavsson ◽  
Thiébaut-Noel Willig ◽  
Arie van Haeringen ◽  
Gil Tchernia ◽  
Irma Dianzani ◽  
...  

2021 ◽  
Vol 5 (01) ◽  
pp. 37-41
Author(s):  
Quazi Smita Haque ◽  
Md. Maruf Al Hasan ◽  
Muhammad Shahidul Islam Sikder ◽  
Sazzad Zayed Chowdhury ◽  
Masba Uddin Chowdhury ◽  
...  

Diamond Blackfan Anaemia (DBA) is a rare disorder which presents with anaemia in early childhood. This heterogenous disorder is mainly autosomal dominantly inherited. Significantproportions of the cases are associated with craniofacial anomalies and some cases may end up developing malignancy. The diagnosis is established by blood investigations, and bone marrow studies in which red cell precursors are reduced or absent. Screening for the mutations including those encoding for ribosomal proteins in the patient and the family members is confirmatory for diagnosis. Human Leukocyte Antigen (HLA) matched hemopoietic stem cell transplantation is the definitive treatment of choice. In other cases, corticosteroids have been tried. The haemoglobin level is maintained with packed red cell transfusion. We are presenting here a male baby who had anaemia soon after birth and was brought to us at the age of 1 year 3 months. The diagnosis of DBA was made since the patient presented with anaemia and supportive biochemical and histological evidence. Genetic screening revealed mutation in ribosomal protein S19 (RPS19) gene in the baby.


10.1038/5951 ◽  
1999 ◽  
Vol 21 (2) ◽  
pp. 169-175 ◽  
Author(s):  
Natalia Draptchinskaia ◽  
Peter Gustavsson ◽  
Björn Andersson ◽  
Monica Pettersson ◽  
Thiébaut-Noël Willig ◽  
...  

2000 ◽  
Vol 2 (5) ◽  
pp. 345-356 ◽  
Author(s):  
Irma Dianzani ◽  
Emanuela Garelli ◽  
Ugo Ramenghi

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Guilherme Rossi Assis-Mendonça ◽  
Marlone Cunha-Silva ◽  
Mariana Franson Fernandes ◽  
Luiza Dias Torres ◽  
Monica Pinheiro de Almeida Verissimo ◽  
...  

Abstract Background Genetic anaemias lead us to reflect on the classic ‘trolley dilemma’, when there are two choices but neither one is satisfactory. Either we do not treat anaemia and the patient suffers from chronic tiredness and fatigue, or we do treat it through blood transfusions, leading to iron overload, which is a quite harmful consequence. Case presentation We present the case of a 34-year-old woman with Diamond–Blackfan anaemia (DBA). Bone marrow stem cell transplantation had not been accessible during her childhood, so she had been submitted to monthly blood transfusions throughout her life, leading to a hepatitis C virus infection (which was treated, achieving a sustained virological response when she was 18 years old), and secondary haemochromatosis. Despite chelation therapy, diffuse iron deposition was occurring in multiple organs, markedly in the heart and liver. Her serum ferritin was higher than 21,000 ng/mL and transferrin saturation reached 102%. When she faced heart decompensation, this congestive condition led to an acute liver injury overlapping pre-existing hepatic fibrosis. She progressed to haemodynamic and hepatic failure, with clinical features of acute-on-chronic liver failure (ACLF). Despite therapeutic optimisation, she died of respiratory insufficiency. An autopsy was performed and revealed the macroscopic and microscopic findings of a massive iron deposition in the liver, heart, lungs, spleen, bone marrow, thyroid and adrenal glands. We found marked advance of liver fibrosis (chronic damage), as well as necrosis of hepatocytes in zone 3 of the Rappaport acinus (acute damage), supporting the hypothesis of ACLF. The main feature responsible for acute liver decompensation seemed to be heart insufficiency. Conclusion This is the first case reporting the sequence: DBA, multiple blood transfusions, secondary haemochromatosis, advanced liver fibrosis, heart failure, ACLF and death. A multidisciplinary team is essential to care for DBA patients, since there is a significant emotional burden related to the disease, which might impair an effective chelation therapy and lead to severe consequences due to iron deposition.


1990 ◽  
Vol 149 (11) ◽  
pp. 779-780 ◽  
Author(s):  
S. Miceli Sopo ◽  
M. A. Pesaresi ◽  
M. Pastore ◽  
A. Stabile

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