Diamond Blackfan Anemia

Author:  Katherine Calvo, MD, PhD; Amy S. Duffield, MD, PhD, 09/21/2015
Category: Bone marrow failure > Diamond-Blackfan Anemia
Published Date: 01/26/2016
A 3 y.o. boy was evaluated for anemia with a normal platelet count and normal white count.  There were no other abnormalities noted.  He required transfusion every 4-5 weeks.  Evaluation showed a R56L missense mutation in exon 3 of the RPS19 gene, a novel mutation consistent with the diagnosis of Diamond Blackfan anemia.  
The parents are not carriers.
Diamond Blackfan anemia marrow aspirate

Bone marrow aspirate shows a marked myeloid predominance with rare early erythroid precursors 

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Hemosiderin Laden macrophages

Hemosiderin laden macrophages were also present

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Apoptotic cells

Apoptotic cells appeared to be increased

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Flow Cytometry

Flow cytometry showed no erythroid precursors

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