Assessment of clinical and laboratory presentations of familial hemophagocytic lymphohistiocytosis patients with homozygous W374X mutation

被引:14
|
作者
Balta, Gunay
Okur, Hamza
Unal, Sule
Yarali, Nese [2 ]
Gunes, Adalet Meral [3 ]
Unal, Selma [4 ]
Turker, Meral [5 ]
Gulerf, Elif [6 ]
Ertem, Mehmet [7 ]
Albayrak, Meryem [8 ]
Patiroglu, Turkan [9 ]
Gurgey, Aytemiz [1 ]
机构
[1] Hacettepe Univ, Fac Med, Dept Pediat, Sect Pediat Hematol, TR-06100 Ankara, Turkey
[2] Diskapi SSK Educ & Res Hosp, Sect Pediat Hematol, Ankara, Turkey
[3] Uludag Univ, Dept Pediat, Sect Pediat Hematol, Bursa, Turkey
[4] Mersin Univ, Dept Pediat, Sect Pediat Hematol, Mersin, Turkey
[5] Tepecik SSK Educ Hosp, Sect Pediat Hematol, Izmir, Turkey
[6] Gaziantep Univ, Sect Pediat Oncol, Oncol Hosp, Gaziantep, Turkey
[7] Ankara Univ, Sect Pediat Hematol, Dept Pediat, TR-06100 Ankara, Turkey
[8] Gazi Univ, Dept Pediat, Sect Pediat Hematol, Ankara, Turkey
[9] Erciyes Univ, Dept Pediat, Sect Pediat Hematol, Kayseri, Turkey
关键词
Familial hemophagocytic lymphohistiocytosis; FHL; Perforin gene; W374X mutation; Clinical implications; Genotype-phenotype; Founder effect; PERFORIN GENE; TURKISH CHILDREN;
D O I
10.1016/j.leukres.2010.02.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Homozygous W374X mutation was identified in unrelated 13 patients (6M/7F) from consanguineous families, 62% of which had history of deceased sibling. Haplotype analysis provided evidence for the probable existence of a founder effect. Age at disease onset ranged from 1 day to 5.5 months (median 2 months). Hepatic dysfunction was observed in 69%, ascite 62%, hypertriglyceridemia 77%, each hyperferritinemia and hypofibrinogenemia 85%, CNS involvement 46% of patients while birth weights were in normal range. Those with very high ferritin (>20,000 ng/ml) had extremely low fibrinogen levels. Two-thirds of patients receiving HLH protocol died within 20 days of therapy. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1012 / 1017
页数:6
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