1981
DOI: 10.1111/j.1600-0609.1981.tb00466.x
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Primary Myelofibrosis with Myeloid Metaplasia and Cytogenetically Abnormal Clones in 2 Children with Down's Syndrome

Abstract: 2 children with Down's syndrome showed severe anaemia, leucocytosis with blastic cells, thrombocytopenia and hepatosplenomegaly. Bone marrow aspirations were near-dry tap and marrow biopsy revealed primary myelofibrosis with myeloid metaplasia (MMM). Their course was short with a blood picture similar to that of leukaemia. They expired 2 months and 2% months after diagnosis, respectively. The cases were thought to represent an acute childhood variant of MMM. Cytogenetic study of circulating white cells by 24 h… Show more

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Cited by 24 publications
(2 citation statements)
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“…Review of English literature yielded 47 reported cases of childhood idiopathic myelofibrosis [2]. Only six of these cases were associated with DS [2][3][4][5]. In recent times, it has become increasingly recognised that DS (trisomy 21) may predispose to various myeloid proliferations [1].…”
Section: Discussionmentioning
confidence: 99%
“…Review of English literature yielded 47 reported cases of childhood idiopathic myelofibrosis [2]. Only six of these cases were associated with DS [2][3][4][5]. In recent times, it has become increasingly recognised that DS (trisomy 21) may predispose to various myeloid proliferations [1].…”
Section: Discussionmentioning
confidence: 99%
“…In these cases, transformation to acute leukemia was seen within months and the prognosis was poor. [20][21][22] In present patient, this transformed to AML-M7 7 months after diagnosis. The patient with underlying congenital heart and chronic lung disease died.…”
Section: Discussionmentioning
confidence: 99%