Document Detail


A neonate with severe thrombocytopenia and radio-ulnar synostosis.
MedLine Citation:
PMID:  15282617     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bone marrow failure syndromes can be associated with abnormalities of the forearms. We observed a neonate with congenital thrombocytopenia who had bilateral radio-ulnar synostosis and fifth finger clinodactly. We performed an evaluation of the mechanism causing the thrombocytopenia using a combination of direct and indirect measures of thrombopoiesis. These tests indicated decreased platelet production. This entity of congenital hyporegenerative thrombocytopenia with bilateral radio-ulnar synostosis and fifth-finger clinodactly is an uncommon but easily recognizable form of congenital amegakaryocytic thrombocytopenia (CAMT). This entity can be distinguished from the TAR syndrome (thrombocytopenia and absent radii) by the distinctive orthopedic issues, different underlying genetic mutations, and a more worrisome prognosis for CAMT than for TAR.
Authors:
Martha C Sola; William B Slayton; Lisa M Rimsza; Jose A Perez; Deborah Fuchs; Deborah Fuch; Darlene A Calhoun; Robert D Christensen
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  24     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-29     Completed Date:  2004-11-26     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  528-30     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL, USA.
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MeSH Terms
Descriptor/Qualifier:
Diagnosis, Differential
Female
Humans
Infant, Newborn
Platelet Transfusion
Radius / abnormalities*,  radiography
Severity of Illness Index
Synostosis / complications,  diagnosis*,  pathology,  radiography,  therapy
Thrombocytopenia / complications,  congenital,  diagnosis*,  pathology,  radiography,  therapy
Ulna / abnormalities*,  radiography
Grant Support
ID/Acronym/Agency:
HL-61798/HL/NHLBI NIH HHS; HL-69990/HL/NHLBI NIH HHS
Comments/Corrections
Erratum In:
J Perinatol. 2005 Apr;25(4):296
Note: Fuch, Deborah [corrected to Fuchs, Deborah]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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