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Blood, 15 August 2001, Vol. 98, No. 4, pp. 1258-1260
BRIEF REPORT
Natural history of congenital dyserythropoietic anemia
type II
Achille Iolascon,
Jean Delaunay,
Sunitha N. Wickramasinghe,
Silverio Perrotta,
Maddalena Gigante, and
Clara Camaschella
From the Istituto di Pediatria, Università di
Foggia e CISME-Dipartimento di Biomedicina dell'Età Evolutiva,
Università di Bari, Italy; Service d'Hématologie,
d'Immunologie et de Cytogénétique, Hôpital de
Bicêtre, Assistance Publique-Hôpitaux de Paris, and INSERM
U 473, Le Kremlin-Bicêtre, France; Nuffield Department of
Clinical Laboratory Sciences, University of Oxford, John Radcliffe
Hospital, Oxford, United Kingdom; Dipartimento di Pediatria, Seconda
Università degli Studi di Napoli, Napoli, Italy; and Dipartimento
di Scienze Cliniche e Biologiche, Università di Torino, Italy.
Congenital dyserythropoietic anemia type II (CDA-II) is an
autosomal recessive disease characterized by anemia, jaundice, splenomegaly, and erythroblast multinuclearity. The natural
history of the disease is unknown. The frequency, the relevance of
complications, and the use of splenectomy are poorly defined. This
study examined 98 patients from unrelated families enrolled in the
International Registry of CDA-II. Retrospective data were obtained
using an appropriate questionnaire. The mean age at presentation was
5.2 ± 6.1 years. Anemia was present in 66% and jaundice in 53.4%
of cases. The mean age at correct diagnosis was 15.9 ± 11.8 years. Twenty-three percent of patients for whom data were available developed
anemia during the neonatal period, and 10 of these individuals required
transfusions. Splenectomy produced an increased hemoglobin (P < .001) and a reduced bilirubin level
(P = .007) in comparison with values before splenectomy.
Preliminary data indicate that iron overload occurs irrespective of the
hemochromatosis genotype.

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