Association of hemolytic anemia and early-onset pulmonary emphysema in three siblings

Three of four siblings born to nonconsanguineous parents of Italian origin were affected with severe congenital hemolytic anemia of unknown cause, and early-onset pulmonary emphysema. Two of the three affected siblings died of septic shock after splenectomy, at the ages of 7 and 3 1/2 years, respect...

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Veröffentlicht in:The Journal of pediatrics 1984-08, Vol.105 (2), p.247-251
Hauptverfasser: Anderson, Carol E., Finklestein, Jerry Z., Nussbaum, Eliezer, Larson, Eunice J., Halpern, Roy, Uitto, Jouni, Tanaka, Kouichi R.
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container_end_page 251
container_issue 2
container_start_page 247
container_title The Journal of pediatrics
container_volume 105
creator Anderson, Carol E.
Finklestein, Jerry Z.
Nussbaum, Eliezer
Larson, Eunice J.
Halpern, Roy
Uitto, Jouni
Tanaka, Kouichi R.
description Three of four siblings born to nonconsanguineous parents of Italian origin were affected with severe congenital hemolytic anemia of unknown cause, and early-onset pulmonary emphysema. Two of the three affected siblings died of septic shock after splenectomy, at the ages of 7 and 3 1/2 years, respectively. The remaining affected sibling was shown to have cutis laxa and severe pulmonary emphysema at 15 years of age. Assay of serum components indicated that α 1-antitrypsin and α 2-macroglobulin levels were normal or slightly elevated. However, there was markedly elevated activity of an elastase-like serum enzyme. The relation of the hemolytic anemia to the pulmonary findings in this family is not clear; pedigree analysis suggests a recessively inherited defect.
doi_str_mv 10.1016/S0022-3476(84)80121-3
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Two of the three affected siblings died of septic shock after splenectomy, at the ages of 7 and 3 1/2 years, respectively. The remaining affected sibling was shown to have cutis laxa and severe pulmonary emphysema at 15 years of age. Assay of serum components indicated that α 1-antitrypsin and α 2-macroglobulin levels were normal or slightly elevated. However, there was markedly elevated activity of an elastase-like serum enzyme. 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subjects Adolescent
Anemia, Hemolytic, Congenital - complications
Anemia, Hemolytic, Congenital - genetics
Anemias. Hemoglobinopathies
Biological and medical sciences
Child
Child, Preschool
Cutis Laxa - complications
Cutis Laxa - genetics
Diseases of red blood cells
Female
Hematologic and hematopoietic diseases
Humans
Italy - ethnology
Male
Medical sciences
Pedigree
Pulmonary Emphysema - complications
Pulmonary Emphysema - genetics
Respiratory Function Tests
Shock, Septic - etiology
Splenectomy - adverse effects
United States
title Association of hemolytic anemia and early-onset pulmonary emphysema in three siblings
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