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248            PART 4  ■  Erythrocyte Disorders





               CONS  I  U  IONAL BONE MARROW                                                                               Laboratory Findings

               FAILURE SYNDROMES ASSOCIA  ED                                                                               Am                                             m       m         ,             %

               WI  H APLAS  IC ANEMIA                                                                                                                                              m               m           -

                                                                                                                                   (F   .     .  ). P                                                           m

               Ex  m                                          m                              m                                                                     . I  m                                            -

                                                           m           Fanconi’s  anemia,       -                                             ,           m

               k                             ,  S          m    -D   m      ,          congenital                                     /  L                   . I                ,

                m     k                     m                    . S            m    -D  m                                                                      m                              m               m  -

                                        m      k                     m                              -                           . S                              mm              k      m             m   k

                                       “B       M         F           I                  S       -                                                      .

               C     L          ”                               .                                                               T

                                                                                                                           F           ’         m                    m                                              -

               Fanconi’s Anemia                                                                                            m     m            k                          x                                   ,

                                                                                                                            x  m     ,  m             C  (MMC)                   x               (DEB).
               F           ’        m                                                          m                           T                                     F           ’        m        m m

                                 m   . T                                            F           ’        -                                       m     m           k                 m   ,

               m                 . A                                m                                 -                                          . P            HLA                  m

                       , F           ’        m               m         q           (                                                                                    HLA

                             x m             %         %                                                                             .

                   m   ).

                    F           ’        m                                                  m            -                 Therapy

                      m                      x                       FA-B             ,                                                                                       m

               X-    k      (                      .  ).  T     F           ’                                                              m                                                      m

                        z                m     m      q            q. C     m     m             -                                                                   .  B        m

                                                  q                m               k ,         ,        -                                            m                                                   HLA-

                        m      ,                       ,          x             .                                                                                       .                                m

                    F           ’         m                            mm           m                                                                                     .

                  m                                                                                                             C                       m                                                         m

                     m                    -                               m  .

                                                                                                                                      ,                      m    k              ,                HLA       -
               Clinical Signs and Sym ptom s
                                                                                                                                                                                                             . C

               C                             m     m      F           ’        m        mm                                                                                                CD
                                                                                                                                                                                                       +
                                                         (                  ,          ),   k              -               k                       m        m   k                                       (CD)

                   m              (     é                   ),                          . O                                    m           . H  m         m                     m

               m                                            k                          (                                                     m                  (  %       %)              m                .

                                               m ),          m       m         , m              -                          S   m                          CD    /CD                       m          m -
                                                                                                                                                                                      −
                                                                                                                                                                         +
                  ,                     m, m                         ,                 m   .                                                                                                                        . I

                                                                                                                                   m                         m

                                                                                                                            %               m                                               m
                                             Genetic Tests for Inherited Bone
                    TABLE        13.3                                                                                               %              m        . A
                                             Marrow  Failure Syndromes                                                                                                                           m




                                                 Inheritance                                                                           m  k                                                          m
                   Syndrome                      Pattern                           Gene                                           k                                     -    k DNA                            .
                                                                                                                                A                             m                                             m-


                   Fanconi’s anemia Autosomal                                      FANCA, FANCC,                                                                      -   m                        (CSF).  T
                                                 recessive                         FANCD1, FANCD2,                                m


                                                                                   FANCE, FANCF,                                                       m                                          m
                                                                                   FANCG, FANCI,                                  .  P                                                     m                     m


                                                                                   FANCJ, FANCL,                                                                           .
                                                                                   FANCM, FANCN                                 F  m                          m                        F           ’        m


                   Fanconi’s anemia X-linked recessive                             FANCB                                                                                                       m         .  S  m
                                                                                                                                       m                                                F           ’        m   .
                   Diamond-                      Autosomal                         RPS113, RPS17,                          T                                           m

                   Blackfan anemia dominant                                        RPS24, PRL35A,                                            . A                                                       m            -

                                                                                   RPS5, RPL11,                                                                  m                    . A                           -

                                                                                   RPS7, RPL36,                                     ,

                                                                                   RPS15, RPS27A

                                                                                                                           m        . P           m
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