Ru Yong Xi, Zhu Xiao-fan, Yan Wen-wei, Gao Jing-tao, Schwarz Klaus, Heimpel Hermann
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 30020, China.
Ann Hematol. 2008 Sep;87(9):751-4. doi: 10.1007/s00277-008-0519-3. Epub 2008 Jun 25.
Congenital dyserythropoietic anemia I (CDA I) is a well-defined entity within the heterogeneous group of the CDAs. So far, most CDA cases were reported from Europe and Israel. A homozygous mutation of the CDAN1-gene was identified from a founder population observed in Bedouin tribes in Israel, and many different mutations in additional cases from Europe were reported. Few cases of CDA I were presented from Asian regions so far, mostly without convincing data and only one case in which a mutation of the CDAN1-gene was detected. Here, the first Chinese family with the typical hematological phenotype, osseous syndactyly and with a compound heterozygous CDAN1-gene mutation is described. Prevalence data of CDA I from Asian countries are not known, but experiences from Europe suggest that in many families the disorder remains undiagnosed.
先天性红细胞生成异常性贫血I型(CDA I)是先天性红细胞生成异常性贫血(CDA)这一异质性疾病组中一个明确的病种。迄今为止,大多数CDA病例来自欧洲和以色列。在以色列贝都因部落观察到的奠基人群体中鉴定出CDAN1基因的纯合突变,并且报道了来自欧洲其他病例中的许多不同突变。到目前为止,亚洲地区仅报道了少数CDA I病例,大多缺乏确凿数据,仅1例检测到CDAN1基因突变。在此,描述了首个具有典型血液学表型、骨性并指且存在复合杂合性CDAN1基因突变的中国家系。亚洲国家CDA I的患病率数据尚不清楚,但欧洲的经验表明,在许多家庭中该疾病仍未得到诊断。