Congenital pancytopenia and absence of B lymphocytes in a neonate with a mutation in the Ikaros gene.

ABSTRACT:

Background

Congenital pancytopenia is a rare and often lethal condition. Current knowledge of lymphoid and hematopoietic development in mice, as well as understanding regulators of human hematopoiesis, have led to the recent discovery of genetic causes of bone marrow failure disorders. However, in the absence of mutations of specific genes or a distinct clinical phenotype, many cases of aplastic anemia are labeled as idiopathic, while congenital immune deficiencies are described as combined immune deficiency.

Procedure

We describe the case of a 33-week gestation age male with severe polyhydramnios, hydrops, and ascites who was noted to be pancytopenic at birth. Bone marrow examination revealed a hypocellular marrow with absent myelopoiesis. An immune workup demonstrated prof

SUBMITTER: Goldman FD 

PROVIDER: S-EPMC3161153 | biostudies-literature | 2012 Apr

REPOSITORIES: biostudies-literature