Summary
Five siblings from an italian family with congenital dyserythropoietic anaemia, type II, are reported. Diagnosis was established by demonstration of erythroid hyperplasia and erythroblastic multinuclearity in the bone marrow, and a positive acidified serum test.
Ferrokinetic studies revealed a significant degree of ineffective erythropoiesis in all five patients. Erythrocyte51Cr half-disappearance time was reduced in two patients. These cases are the first reported in Italy.
Zusammenfassung
Es wird eine italienische Familie mit erblicher erythroblastischer Multinuklearität und positiv saurem Serumtest (Hempas) beschrieben. Die Eltern waren klinisch und hämatologisch gesund, alle fünf Kinder zeigten jedoch klinisch und hämatologisch die charakteristischen Merkmale dieser Krankheit. Diese Fälle wurden erstmalig in Italien festgestellt.
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References
Bergström, I. and L. Jacobsson: Hereditary benign erythroreticulosis. Blood19, 296 (1962).
Crookston, J. H., M. C. Crookston, K. L. Burnie, W. H. Francombe, J. V. Dacie, J. A. Davis and S. M. Lewis: Hereditary erythroblastic multinuclearity associated with a positive acidified-serum test: a type of congenital dyserythropoietic anaemia. Brit. J. Haematol.17, 11 (1969).
Crookston, J. H., M. C. Crookston and W. F. Rosse: Red cell abnormalities in HEMPAS (Hereditary Erythroblastic Multinuclearity with a Positive Acidified-Serum Test). Brit. J. Haematol.23, (Suppl.), 83 (1972).
Dacie, J. V. and S. M. Lewis: Practical Haematology, 4th edt. Churchill, London 1970.
De Lozzio, C. B., J. I. Valencia and E. Acame: Chromosomal study in erythroblastic endopolyploidy. Lancet1, 1004 (1962).
Finch, C.: Ferrokinetics in man. Medicine (Baltimore)49, 59 (1970).
Heimpel, H.: Kongenitale dyserythropoetische Anämien. Blut und Blutkrankheiten II, p. 698. Springer, Berlin 1970.
Heimpel, H., J. Forteza-Vila, W. Queisser and E. Spiertz: Electric and light microscopic study of the erythroblast of patients with congenital dyserythropoietic anaemia. Blood37, 299 (1971).
Heimpel, H. and F. Wendt: Congenital dyserythropoietic anaemia with karyorrhexis and multinuclearity of erythroblasts. Helv. Med. Acta34, 103 (1968).
International Committee for Standardization in Haematology: Recommended methods for radioisotope red cell survical studies. Method A. Blood38, 378 (1971).
Meuret, G., I. Boll, D. Graf Keyserlingk and H. Heissmeyer: Morphologische und kinetische Befunde bei einer kongenitalen dyserythropoetischen Anämie. Blut21, 341 (1970).
Verwilghen, R. L., S. M. Lewis, J. V. Dacie, J. H. Crookston and M. C. Crookston: HEMPAS: Congenital dyserythropoietic anaemia (Type II). Quart. J. Med.42, 257 (1973).
Wolff, J. A. and F. H. von Hofe: Familial erythroid multinuclearity. Blood6, 1274 (1951).
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Barbui, T., Cazzavillan, M., Chisesi, T. et al. Congenital dyserythropoietic anemia, type II (Hempas) first five reported cases in Italy. Blut 29, 391–397 (1974). https://doi.org/10.1007/BF01633674
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DOI: https://doi.org/10.1007/BF01633674