Kratz Christian P, Niehues Tim, Lyding Sigrid, Heusch Andreas, Janssen Gisela, Göbel Ulrich
Department of Pediatric Hematology and Oncology, Heinrich Heine University, Düsseldorf, Germany.
Pediatr Hematol Oncol. 2003 Mar;20(2):167-72. doi: 10.1080/0880010390158685.
One patient with a chromosome 22q11.2 deletion and Evans syndrome is reported in this paper. Microdeletions of 22q11.2 are the main etiology for DiGeorge syndrome, a disorder characterized by heart defects, immune deficiencies due to aplasia or hypoplasia of the thymus, and hypocalcemia. Evans syndrome refers to a hematological autoimmune disorder with autoimmune hemolytic anemia accompanied by immune thrombocytopenia. A wide range of autoimmune disorders have been described in DiGeorge syndrome and velocardiofacial syndrome, including one prior report of autoimmune hemolytic anemia and immune thrombocytopenia. The patient reported herein strengthens the association between the 22q11.2 deletion spectrum and Evans syndrome.
本文报道了1例患有22q11.2染色体缺失和埃文斯综合征的患者。22q11.2微缺失是迪乔治综合征的主要病因,该疾病的特征为心脏缺陷、由于胸腺发育不全或发育不良导致的免疫缺陷以及低钙血症。埃文斯综合征是一种血液系统自身免疫性疾病,伴有自身免疫性溶血性贫血和免疫性血小板减少症。迪乔治综合征和腭心面综合征中已描述了多种自身免疫性疾病,包括之前一篇关于自身免疫性溶血性贫血和免疫性血小板减少症的报道。本文报道的患者进一步证实了22q11.2缺失谱系与埃文斯综合征之间的关联。