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Prepublished online as a Blood First Edition Paper on April 17, 2003; DOI 10.1182/blood-2002-10-3246.

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Blood, 1 August 2003, Vol. 102, No. 3, pp. 1097-1099

RED CELLS
Brief report

Chuvash-type congenital polycythemia in 4 families of Asian and Western European ancestry

Melanie J. Percy, Mary Frances McMullin, Simon N. Jowitt, Michael Potter, Marilyn Treacy, William H. Watson, and Terence R. J. Lappin

From the Department of Haematology, Belfast City Hospital, Belfast, Northern Ireland; the Department of Haematology, Queen's University, Belfast, Northern Ireland; the Department of Haematology, Stepping Hill Hospital, Stockport, Cheshire, England; the Department of Haematology, Royal Free Hospital, London, England; the Department of Haematology, Chase Farm Hospital, Enfield, Middlesex, England; and the Department of Haematology, Monklands Hospital, Airdrie, Lanarkshire, Scotland

The Chuvash form of polycythemia is an autosomal recessive disorder common to a large number of families in central Russia. Affected individuals have been reported to be homozygous for an Arg200Trp mutation in the von Hippel–Lindau (VHL) gene. We have screened 78 patients with erythrocytosis and found 8 of Bangladeshi and Pakistani origin to be homozygous for the Arg200Trp mutation and another of English descent to be heterozygous. Of these patients, 5 have elevated serum erythropoietin (Epo) levels, while the other 4 have Epo values in the normal range. The heterozygous patient does not fulfill the Chuvash criterion for homozygosity of the Arg200Trp mutation and consequently may harbor a further, as yet uncharacterized, mutation. This mutation has a wider geographic distribution than originally presumed and haplotype analysis suggests a common origin of the Arg200Trp mutation in the 4 families, but it still remains to be established if it has arisen independently of the Chuvash population.


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