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Published on: August 15, 2019
Myelokathexis in a mother and infant: a second case suggesting dominant inheritance
1Department of Pediatrics, Tripler Army Medical Center, Honolulu, HI 96859-5000, USA.
Abstract:
Myelokathexis is a rare from of neutropenia that is probably congenital, characterized by severe noncyclic neutropenia, recurrent infections, granulocytic hyperplasia of the bone marrow, and degenerative changes in mature neutrophils. The cause remains uncertain. A case of myelokathexis was reported in a father and two daughters, and based on this, myelokathexis was given an autosomal-dominant inheritance in Mendelian Inheritance in Man (11th edition, 1994). We present the case of a 12-month-old male with chronic neutropenia and the morphologic features of myelokathexis whose mother carries the same diagnosis, providing additional evidence in favor of dominant transmission.
Insights
Myelokathexis, a rare congenital neutropenia, presents with severe infections and bone marrow hyperplasia. This study provides further evidence for its autosomal dominant inheritance pattern, observed in a mother and son.
Area of Science:
- Hematology
- Genetics
- Pediatric Medicine
Background:
- Myelokathexis is a rare congenital neutropenia characterized by severe noncyclic neutropenia, recurrent infections, granulocytic hyperplasia of the bone marrow, and degenerative changes in mature neutrophils.
- The exact cause of myelokathexis remains uncertain.
- Previous reports suggested autosomal-dominant inheritance based on a familial case.
Observation:
- A 12-month-old male infant presented with chronic neutropenia and the characteristic morphologic features of myelokathexis.
- The patient's mother was also diagnosed with myelokathexis.
- This familial occurrence was investigated for genetic transmission patterns.
Findings:
- The presented case involves a mother and son with myelokathexis.
- This observation supports the hypothesis of autosomal-dominant transmission of the condition.
- Morphologic analysis revealed degenerative changes in neutrophils consistent with myelokathexis.
Implications:
- This case adds to the evidence supporting an autosomal-dominant inheritance for myelokathexis.
- Understanding the genetic basis is crucial for diagnosis and genetic counseling.
- Further research into the molecular mechanisms underlying myelokathexis is warranted.
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