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Another Constitutional Anemia

Susumu Inoue, MD; Ghodsi Mekanik, MD; Mohyeddin Mahallati, MD; Wolf W. Zuelzer, MD

Am J Dis Child. 1973;126(3):389-396.

Abstract
A 10-year-old boy had reticular pigmentation of the skin, severe dystrophy of finger and toenails, hyperkeratosis of palms and soles, photophobia, excessive lacrimation, and later, leukoplakia of the tongue as well as progressive anemia and pancytopenia. Irregular reticulocytosis was present until shortly before death at age 17 years. The bone marrow showed reversal of the myeloid to erythroid ratio and presence of numerous mast cells and plasma cells. It is assumed that both marrow dysplasia and hemolysis were involved in the hematologic disorder. Extensive aseptic necrosis of bones and persistent pulmonary infiltrations constituted the major complications.

Cytogenetic studies of the patient and his family revealed no excessive chromosomal breakage, in contrast to the usual findings in Fanconi anemia.

Author Affiliations
Detroit

From the Child Research Center of Michigan (Drs. Inoue, Mahallati, and Zuelzer), Children's Hospital of Michigan (Drs. Mekanik and Zuelzer), and the Department of Pediatrics, Wayne State University School of Medicine (Dr. Zuelzer), Detroit. Dr. Mekanik is now practicing in Tehran, Iran; Dr. Mahallati is practicing in Shiraz, Iran.

Footnotes
Received for publication Nov 20, 1972; accepted June 12, 1973.

Reprint requests to the Child Research Center of Michigan, 3901 Beaubien Blvd, Detroit 48201 (Dr. Inoue).

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