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Hematologic abnormalities in children with Down syndrome

N J Roizen1, A P Amarose

  • 1Department of Pediatrics, University of Chicago Pritzker School of Medicine, Wyler Children's Hospital, La Rabida Children's Hospital and Research Center, Chicago, Illinois.

American Journal of Medical Genetics
|June 15, 1993
PubMed
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Children with Down syndrome (DS) often exhibit macrocytosis (high MCV) and leukopenia (low WBC counts). Folate levels did not explain these common hematologic findings in DS.

Area of Science:

  • Pediatric Hematology
  • Genetics
  • Down Syndrome Research

Background:

  • Down syndrome (DS) is associated with various health complications.
  • Hematologic abnormalities are frequently observed in children with DS.
  • Understanding these differences is crucial for comprehensive care.

Purpose of the Study:

  • To compare hematologic parameters in children with and without Down syndrome.
  • To investigate the prevalence of macrocytosis and leukopenia in young children with DS.
  • To explore the potential role of folate deficiency in these hematologic findings.

Main Methods:

  • A comparative study involving 18 children with DS and 18 age/gender-matched healthy controls (ages 2-6 years).
  • Analysis of complete blood counts, including Mean Corpuscular Volume (MCV) and White Blood Cell (WBC) counts.

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  • Measurement of serum and red blood cell (RBC) folate concentrations.
  • Main Results:

    • Children with DS showed significantly higher MCVs and hematocrits compared to controls.
    • A higher percentage of children with DS had MCVs above the 97th percentile (66% vs. 11%).
    • Children with DS had significantly lower WBC counts (33% below the 5th percentile vs. 6% in controls).
    • No significant differences in serum or RBC folate levels were found between the groups.

    Conclusions:

    • Macrocytosis and leukopenia are common hematologic findings in children with Down syndrome.
    • These abnormalities are not explained by folate deficiency.
    • Further research may be needed to elucidate the underlying mechanisms of these hematologic changes in DS.