Abstract
A male infant is reported with congenital dyskeratosis and pancytopenia Zinsser-Engman-Cole. The bone marrow pathology showed similarities to Fanconi anaemia. Ophthalmological complications were vitreous haemorrhage, haemorrhagic cataracta complicata and glaucoma. Spontaneous and diepoxybutane-induced chromosomal fragility was within the range of normal cells but was elevated through induction with 4-nitroquinolineoxide. These findings are contrasted with those of Fanconi anaemia.
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Abbreviations
- DEB:
-
diepoxybutane
- MCH:
-
mean corpuscular haemoglobin
- MCV:
-
mean corpuscular volume
- NQO:
-
4-nitroquinoline-1-oxide
References
Burgdorf W, Kurvink K, Cervenka J (1977) Sister chromatid exchange in dyskeratosis congenita lymphocytes. J Med Genet 14: 256–257
DeBoeck K, Degreef H, Verwilghen R, Corbeel L, Casteels-Van Daele M (1981) Thrombocytopenia: first symptom in a patient with dyskeratosis congenita. Pediatrics 67:898–903
Gianetti A, Seidenari S (1980) Deficit of cell-mediated immunity, chromosomal alterations and defective DNA repair in a case of dyskeratosis congenita. Dermatologica 160:113–117
Gmyrek D, Syllm-Rapoport I (1964) Zur Fanconi-Anämie (FA). Analyse von 129 beschriebenen Fällen. Z Kinderheilkd 91:297–337
Gutman A, Frumkin A, Adam A, Bloch-Shtacher S, Rozenszajn LA (1978) X-linked dyskeratosis congenita with pancytopenia. Arch Dermatol 114:1667–1671
Inoue S, Mekanik G, Mahallati M, Zuezler WW (1973) Dyskeratosis congenita with pancytopenia, another constitutional anemia. Am J Dis Child 126:389–396
Kelly TE, Stelling CB (1982) Dyskeratosis congenita: radiologic features. Pediatr Radiol 12:31–36
Morrison JGL (1974) Dyskeratosis congenita: two extremes. S Afr Med J 48:223–225
Ortega JA, Swanson VL, Landing BH, Hammond GD (1972) Congenital dyskeratosis. Zinsser-Engman-Cole syndrome with thymic dysplasia and aplastic anemia. Am J Dis Child 124:701–704
Sirinavin C, Throwbridge AA (1975) Dyskeratosis congenita: clinical features and genetic aspects. J Med Genet 12:339–354
Steier W, Van Voolen GA, Selmanowitz VJ (1972) Dyskeratosis congenita. Relationship to Fanconi anemia. Blood 39:510–521
Wiedemann HP, McGuire J, Dwyer JM, Sabetta J, Gee JBL, Smith GJW, Loke J (1984) Progressive immune failure in dyskeratosis congenita. Arch Intern Med 144:397–399
Womer R, Clark JE, Wood P, Sabio H, Kelly TE (1983) Dyskeratosis congenita: two examples of this multisystem disorder. Pediatrics 71:603–609
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Schneider, A., Mayer, U., Gebhart, E. et al. Clastogen-induced fragility may differentiate pancytopenia of congenital dyskeratosis from fanconi anaemia. Eur J Pediatr 148, 37–39 (1988). https://doi.org/10.1007/BF00441811
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DOI: https://doi.org/10.1007/BF00441811