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Prepublished online as a Blood First Edition Paper on March 20, 2003; DOI 10.1182/blood-2002-07-2288.
Submitted August 19, 2002
Red Cell Pathology Unit, Hospital Clinic i Provincial, Barcelona, Spain * Corresponding author; email: jlvives{at}medicina.ub.es.
Two patients with chronic nonspherocytic hemolytic anemia (CNSHA) and severe red blood cell(RBC) adenylate kinase (AK) deficiency are reported. One of these patients, a boy of Spanish origin, exhibited a neonatal icterus and splenomegaly and required blood transfusions until the age of two years. The other patient was an infant born of U.S. white first cousins; he also presented with neonatal icterus and anemia. In neither case was psychomotor impairment observed. The first patient was found to be a compound heterozygote for two different missense mutations, c.118 G
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