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GTR Home > Tests > Diamond-Blackfan Anemia and Bone Marrow Failure via the RPL11 Gene

Indication

This is a clinical test intended for Help: Pre-symptomatic, Mutation Confirmation, Screening, Risk Assessment, Diagnosis

Clinical summary

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Imported from GeneReviews

Diamond-Blackfan anemia (DBA) is characterized by a profound normochromic and usually macrocytic anemia with normal leukocytes and platelets, congenital malformations in up to 50%, and growth deficiency in 30% of affected individuals. The hematologic complications occur in 90% of affected individuals during the first year of life. The phenotypic spectrum ranges from a mild form (e.g., mild anemia or no anemia with only subtle erythroid abnormalities, physical malformations without anemia) to a severe form of fetal anemia resulting in nonimmune hydrops fetalis. DBA is associated with an increased risk for acute myelogenous leukemia (AML), myelodysplastic syndrome (MDS), and solid tumors including osteogenic sarcoma.

Clinical features

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Imported from Human Phenotype Ontology (HPO)

  • Macrocytic anemia
  • Choanal atresia
  • Patent ductus arteriosus
  • Esophagitis
  • Fetal distress
  • Fetal growth restriction
  • Ventricular septal defect
  • Polyhydramnios
  • Osteopenia
  • Osteoporosis
  • Scoliosis
  • Tetralogy of Fallot
  • Vesicoureteral reflux
  • Low levels of vitamin D
  • Congenital elevation of scapula
  • Horseshoe kidney
  • Recurrent infections
  • Triphalangeal thumb
  • Atresia of the external auditory canal
  • Increased mean corpuscular volume
  • Secundum atrial septal defect
  • Short thumb
  • Growth delay
  • Recurrent otitis media
  • Neutropenia
  • Hearing impairment
  • Small hypothenar eminence
  • Cleft palate
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Inheritance pattern

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Autosomal dominant inheritance

Conditions tested

Target population

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Patients with symptoms of Diamond-Blackfan anemia or indication of bone marrow failure or MDS/AML are candidates for this test. Other candidates for this test include potential donors and patients with an indication of bone marrow failure and who have tested negative for other bone marrow failure disorders such as Fanconi anemia, Shwachman-Diamond syndrome, dyskeratoris congenita, and severe congenital neutropenia.

Citations

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Clinical validity

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Not provided

Clinical utility

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Not provided

IMPORTANT NOTE: NIH does not independently verify information submitted to the GTR; it relies on submitters to provide information that is accurate and not misleading. NIH makes no endorsements of tests or laboratories listed in the GTR. GTR is not a substitute for medical advice. Patients and consumers with specific questions about a genetic test should contact a health care provider or a genetics professional.