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Congenital Neutropenia - Myelofibrosis - Nephromegaly Syndrome

Autosomal Recessive Severe Congenital Neutropenia 5


Presentation

  • We report the case of a young girl who presented with enlarged kidneys and was diagnosed with this form of leukemia. This case is of interest because of the rarity of this presentation.[citeulike.org]
  • Presentation of 21-oh deficiency (most common).[cram.com]
  • We present three cases with trisomy 14.[myslide.es]
  • […] of PIVH • Grades 1 and 2 PIVH present silently and are detected by routine ultrasonography • Grade 3 PIVH occasionally presents with shock from blood volume depletion • Grade 4 PIVH may present similarly and occasionally with neurological signs (seizures[archive.org]
  • May present with ocular symptoms and headache. 386. True. May present with the Horner syndrome 387. False. May present with pupillary dilatation. 388-389.[bonepit.com]
Recurrent Infection
  • Disease Type of connection Pseudohypoparathyroidism type 1B Estrogen resistance syndrome Synonym(s): - Congenital neutropenia-bone marrow fibrosis-nephromegaly syndrome - Congenital neutropenia-myelofibrosis-nephromegaly syndrome - Recurrent infections-bone[csbg.cnb.csic.es]
  • infection due to specific granule deficiency Recurrent infections associated with rare immunoglobulin isotypes deficiency Reticular dysgenesis Roifman syndrome Say-Barber-Miller syndrome Schimke immuno-osseous dysplasia Secondary hemophagocytic lymphohistiocytosis[se-atlas.de]
  • infection due to specific granule deficiency, Recurrent infections-myelofibrosis-nephromegaly syndrome, Shwachman-Diamond syndrome, Transcobalamin deficiency, WHIM syndrome, Wiskott-Aldrich syndrome, X-linked dyserythropoetic anemia with abnormal platelets[bbrauncegat.com]
  • infections, bacterial and fungal; Leukopenia; Neutropenia; Neutrophil dysfunction; Hypergammaglobulinemia MISCELLANEOUS: Onset in infancy; Early death from infection may occur MOLECULAR BASIS: Caused by mutation in the homolog of the yeast vacuolar protein[rbcc.hegelab.org]
Fatigue
  • An important symptom is fatigue with feeding. Because feeding results in a need for increased cardiac output, this activity may unmask exercise intolerance in a baby. Rapid breathing (tachypnea) at rest or with feedings is usually present.[cram.com]
  • Klein BSc MBBS MRCP FRCPCH PhD Professor of Infection and Immunology, University College London, Consultant in Infectious Diseases, Great Ormond Street Hospital, London Vic Larcher BA MA MB BChir MRCP FRCPCH Consultant in Adolescent Medicine (Chronic Fatigue[archive.org]
Splenomegaly
  • It is characterized, classically, by anemia, mild neutrophilia, thrombocytosis, and splenomegaly. Occasional cases may present with bi- or tricytopenias ( 10%).[accessmedicine.mhmedical.com]
  • Adverse events include mild splenomegaly, moderate thrombocytopenia, osteoporosis, and malignant transformation into myelodysplasia (MDS)/leukemia.[ncbi.nlm.nih.gov]
  • Other features included nephromegaly, splenomegaly, and osteosclerosis. Two patients died at age 3 months and 3 years, respectively.[rbcc.hegelab.org]
  • Research output : Contribution to journal › Article 2007 A 4-month-old boy being evaluated for splenomegaly and pancytopenia Listernick, R., Chaleff, S., Sundaram, S., Katz, B., Burton, B., Cohn, R., Chou, P. & Morgan, E., Jan 1 2007, In : Pediatric Annals[scholars.northwestern.edu]
  • Blood film for girls came abdominal pain cough splenomegaly dx; A. P.malaria B. P.falcifom C. P. Oval D. Mp.[cram.com]
Abdominal Pain
  • Chronic periodontal disease has been attributed to deficiency in a defensin, the antimicrobial peptide LL-37. [13] Diffuse gastrointestinal lesions may cause abdominal pain and diarrhea, resembling bacterial enteritis.[emedicine.medscape.com]
  • Abdominal masses, which can cause abdominal pain and distention andascites.[cram.com]
  • M 9:1 F, 40s, Caucasian - migratory arthralgias/non-deforming arthritis, malabsorption, steatorrhea, abdominal pain, fever and lymphadenopathy.[bonepit.com]
Headache
  • May present with ocular symptoms and headache. 386. True. May present with the Horner syndrome 387. False. May present with pupillary dilatation. 388-389.[bonepit.com]
  • Something - - Uncomplicated malaria: tachycardia, tachypnea, chills, malaise, fatigue, diaphoresis, headache, cough, anorexia, nausea, vomiting, abdominal pain, diarrhea, arthralgias, and myalgias Physical findings may include mild anemia and a palpable[cram.com]
  • […] kgper day • Oral Ca 2 supplements • Vitamin D, or the analogue alfacalcidol (1-hydroxycholecalciferol), for nutritional deficiency, hypoparathyroidism and renal failure Hypercalcaemia The main symptoms are constipation, nausea, lethargy and confusion, headache[archive.org]

Workup

  • Dunnick states that, "Otherwise healthy patients with uncomplicated pyelonephritis seldom need a radiologic workup if they respond to antibiotic therapy within 72 hours.[bonepit.com]

Treatment

  • Hematopoietic stem cell transplantation (HSCT) is still the only available treatment for patients refractory to rHuG-CSF treatment. Copyright 2002, Elsevier Science (USA). All rights reserved.[ncbi.nlm.nih.gov]
  • A number of drugs have been used for the treatment of neutropenic patients with fever.[citeulike.org]
  • Compounds and pharmaceutical compositions for uses in diabetes TW201441185A ( en ) 2013-03-15 2014-11-01 Prometic Biosciences Inc Substituted aromatic compounds for the treatment of pulmonary fibrosis, liver fibrosis, skin fibrosis and cardiac fibrosis[google.sr]
  • Severe chronic neutropenia: treatment and follow-up of patients in the Severe Chronic Neutropenia International Registry. Am J Hematol. 2003;72(2):82-93. Dale DC, Person RE, Bolyard AA, et al.[rarediseases.org]

Prognosis

  • Abstract The metastasis of bone marrow by the solid tumors is a sign of advanced stage of disease and poor prognosis.[citeulike.org]
  • Due to the rarity of 14 in hematologic disorders as a sole change and the coinci- dent lack of clinical follow-up, it is difficult to speculate regarding the prognosis and response to therapy.[myslide.es]
  • This gives a significant advantage to the parents who are counselled by specialists who can give a realistic guide to the prognosis and treatment options. A few undergo termination of pregnancy (depending on the diagnosis).[archive.org]
  • In most cases in children, trichotillomania /- trichobezoar is a habit disorder and thus has a better prognosis. However, in adults the psychopathology is usually deeper and thus entails a poor prognosis.[cram.com]
  • A low score has a better prognosis. 161. True. A high score has a bad prognosis. 162.[bonepit.com]

Etiology

  • In 40% of patients, a genetic etiology for severe congenital neutropenia was unknown. [11] Mortality/Morbidity The mortality rate is 70% within the first year of life in the absence of medical intervention with granulocyte colony-stimulating factor (G-CSF[emedicine.medscape.com]
  • The importance of renal biopsy in identifying the etiology of this patient’s nephromegaly is emphasized. ... Abstract Blood is life.[citeulike.org]
  • In 2007, themolecular etiology of Kostmann disease, a term now con-fined to a particular genetically defined subtype of SCN,was determined, and loss-of-function mutations in HAX1(HCLS1-associated protein X-1) were discovered.26HAX1 is a cytosolic protein[dokumen.tips]
  • Diagnosis -otitis media there is usually triad of otalgia, fever, and conductive hearing loss - croup presented with characteristic barking cough and fever - urti could present with different non specific signs and symptoms and according to etiology it[cram.com]
  • Heterotopic bone formation is of unknown etiology. Medial bone resorption is likely related to stress shielding. Choice E is evidence of possible loosening. Reference : Resnick, chapter 20. 336.[bonepit.com]

Epidemiology

  • […] syndrome - Congenital neutropenia-myelofibrosis-nephromegaly syndrome - Recurrent infections-bone marrow fibrosis-nephromegaly syndrome Classification (Orphanet): - Rare genetic disease - Rare immune disease Classification (ICD10): (no data available) Epidemiological[csbg.cnb.csic.es]
  • Frequency International Epidemiological data are limited given the overlapping case definitions of congenital neutropenia and few patient registries.[emedicine.medscape.com]
  • […] advocacy organizations in the field of rare diseases Rare Disease Day 2018 was a success IRDiRC released its roadmap for 2018 Addressing challenges in the diagnosis and treatment of rare genetic diseases Spotlight on the second edition of “Rare Diseases Epidemiology[irdirc.org]
  • Diagnosis of congenital heart disease 1.1 Fetal cardiology 1 .2 Epidemiology 1.3 Cardiac anatomy 1 .4 Nomenclature for sequential segmental arrangement 1.5 Examination technique 1 .6 Tnnocent murmurs 2.[archive.org]
  • Cartilage-hair hypoplasia in Finland: epidemiological and genetic aspects of 107 patients. J Med Genet 1992; 29: Ridanpaa M, van Eenennaam H, Pelin K, et al.[docplayer.net]
Sex distribution
Age distribution

Pathophysiology

  • Disorder Gene mutated Inheritance Haematopoietic manifestations Extrahaematopoietic manifestations Pathophysiology Ref.[docplayer.net]
  • Pathophysiology In classic CAH, there is a block in the production of cortisol and aldosterone with a build-up of 17- hydroxyprogesterone, the precursor before the block.[archive.org]
  • African teen with jaw mass histopathology showed starry sky appearance (case of burkitt's lymphoma) what's that pathophysiology? A. Overexpression of c-myc B.[cram.com]

Prevention

  • The key for the prevention and control of dental caries and advanced periodontitis is the active promotion of oral hygiene.[cram.com]
  • Captopril prevents conversion of Angiotensin I to Angiotensin II by inhibition of ACE. 205. False.[bonepit.com]
  • Better molecular HLA-typing and donorselection, prevention of graft-versus-host disease, and sup-portive care may reduce the threshold for recommendingallogeneic stem cell transplantation even for patients whodo not meet the above criteria.32 However,[dokumen.tips]
  • Prevention of PIVH The following have been shown to reduce the incidence of PIVH: • Antenatal steroids • Maternal vitamin K • Indomethacin (but long-term neurodisability is not reduced) The following have been evaluated but have no proven benefit: • Vitamin[archive.org]

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