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Published on: December 22, 2016
Transient abnormal myelopoiesis in pediatrics with trisomy 21
Nadereh Taee1, Mojgan Faraji-Goodarzi1, Mohammad Safdari2
1Department of Pediatrics Faculty of Medicine Lorestan University of Medical Sciences Khorramabad Iran.
Insights
Transient abnormal myelopoiesis (TAM) is frequent in Down syndrome. Close monitoring for issues like GI bleeding is key, but long-term follow-up often leads to healthy outcomes without aggressive treatments.
Area of Science:
- Hematology
- Genetics
- Pediatrics
Background:
- Transient abnormal myelopoiesis (TAM) is a hematologic malignancy unique to newborns with Down syndrome (DS).
- While often self-resolving, TAM can present with significant complications.
Observation:
- This condition occurs in a notable percentage of infants diagnosed with Down syndrome.
- Gastrointestinal bleeding is a critical comorbidity requiring vigilant observation.
Findings:
- In most cases, TAM does not necessitate immediate therapeutic interventions.
- Long-term follow-up data indicate a positive prognosis for affected individuals.
Implications:
- Early identification and monitoring can prevent severe complications.
- A strategy of watchful waiting and targeted comorbidity management can lead to remission and a healthy future, minimizing the need for treatments like chemotherapy.
Abstract:
Transient abnormal myelopoiesis is common among Down syndrome patients. Although no therapeutic measures are required, close monitoring of comorbidities such as gastrointestinal bleeding is required. Long-term follow-up is promising for a healthy future and reduced requirement of unnecessary therapeutic measures including chemotherapy and remission of the pathology.
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