2012
DOI: 10.1111/j.1365-2141.2012.09033.x
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Deletion of chromosome 20 in bone marrow of patients with Shwachman‐Diamond syndrome, loss of the EIF6 gene and benign prognosis

Abstract: acquired TTP but with an atypical presentation. A suboptimal response to PEX, defined as the absence of a steadily declining lactate dehydrogenase level and an increase in the platelet count after 4-5 days of daily PEX in the context of ADAMTS13 >10%, would lead us to consider therapy with eculizumab over intensified PEX or immune-based therapy as might be considered in TTP.

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Cited by 55 publications
(40 citation statements)
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“…31,34,35 Isochromosome 7q and del(20q) can be seen for many years in the bone marrow from patients with stable SDS and can even become periodically undetectable. 1,[36][37][38] Surprisingly, in the present study, three out of four patients with i(7q) and SDS had significant complications at presentation or at last follow-up. In addition, one of the two patients with del(20q) developed RCEB and AML 11 years after the first appearance of this CMCA.…”
Section: Discussioncontrasting
confidence: 68%
“…31,34,35 Isochromosome 7q and del(20q) can be seen for many years in the bone marrow from patients with stable SDS and can even become periodically undetectable. 1,[36][37][38] Surprisingly, in the present study, three out of four patients with i(7q) and SDS had significant complications at presentation or at last follow-up. In addition, one of the two patients with del(20q) developed RCEB and AML 11 years after the first appearance of this CMCA.…”
Section: Discussioncontrasting
confidence: 68%
“…leukemia, in comparison with other patients [50,71]. Taken together, these observations imply a role for eIF6 in the pathogenesis of SDS syndrome.…”
Section: Shwachman-bodian-diamond (Sds) Syndromementioning
confidence: 50%
“…Such changes include the well-described somatic reversion seen in hematopoietic stem cells in FA patients [113], as well as isochromosome 7q or CN-LOH of chromosome arm 7q, resulting in enhanced SBDS protein expression in patients with Shwachman-Diamond Syndrome (SDS)[114,115]. The development of other clonal abnormalities, such as interstitial deletions involving chromosome arm 20q in patients with SDS, while not corrective of the underlying genetic defect, appear to be benign and can remain stable for years, can disappear spontaneously, and do not appear to increase the risk of developing MDS[116]. Common patterns of clonal evolution in acquired aplastic anemia similarly do not seem to increase the risk for MDS, and include somatic PIGA mutations, deletion of chromosome arm 13q, and 6p CN-LOH[101,117].…”
Section: Interpretation Of Cytogenetic Changes: All Clones Are Not Crmentioning
confidence: 99%