Parvovirus B19 infection and Diamond-Blackfan anaemia

被引:13
作者
Heegaard, ED
Hasle, H
Clausen, N
Hornsleth, A
Kerndrup, GB
机构
[1] ODENSE UNIV HOSP,DEPT PAEDIAT,DK-5000 ODENSE,DENMARK
[2] ODENSE UNIV HOSP,DEPT PATHOL,DK-5000 ODENSE,DENMARK
[3] AARHUS KOMMUNE HOSP,DEPT PAEDIAT,DK-8000 AARHUS,DENMARK
关键词
Diamond-Blackfan anaemia; parvovirus B19; polymerase chain reaction;
D O I
10.1111/j.1651-2227.1996.tb14020.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
It is the purpose of the study to report the frequency of parvovirus in children with a diagnosis of Diamond-Blackfan anaemia and to discuss the possible aetiological role of parvovirus in Diamond-Blackfan anaemia. We found parvovirus DNA in 3 of 11 bone marrow smears. Giant pronormoblasts showed low sensitivity (33%) and poor specificity (75%). The presence of giant pronormoblasts was associated with a very high myeloid:erythroid ratio, and may not be specific for parvovirus infection, but a feature of severely suppressed erythropoiesis. The three parvovirus-positive patients were the only children who experienced a remission, and who are free of medication. The seven surviving parvovirus-negative patients are all currently on steroid treatment.
引用
收藏
页码:299 / 302
页数:4
相关论文
共 15 条
[1]   CONGENITAL ANEMIA AFTER TRANSPLACENTAL B19 PARVOVIRUS INFECTION [J].
BROWN, KE ;
GREEN, SW ;
DEMAYOLO, JA ;
BELLANTI, JA ;
SMITH, SD ;
SMITH, TJ ;
YOUNG, NS .
LANCET, 1994, 343 (8902) :895-896
[2]   ERYTHROCYTE-P ANTIGEN - CELLULAR RECEPTOR FOR B19 PARVOVIRUS [J].
BROWN, KE ;
ANDERSON, SM ;
YOUNG, NS .
SCIENCE, 1993, 262 (5130) :114-117
[3]   PARVOVIRUS B19 AS A CAUSE OF ACQUIRED CHRONIC PURE RED-CELL APLASIA [J].
FRICKHOFEN, N ;
CHEN, ZJ ;
YOUNG, NS ;
COHEN, BJ ;
HEIMPEL, H ;
ABKOWITZ, JL .
BRITISH JOURNAL OF HAEMATOLOGY, 1994, 87 (04) :818-824
[4]   POLYMERASE CHAIN-REACTION WITH DOUBLE PRIMER PAIRS FOR DETECTION OF HUMAN PARVOVIRUS B19 INDUCED APLASTIC CRISES IN FAMILY OUTBREAKS [J].
FRIDELL, E ;
BEKASSY, AN ;
LARSSON, B ;
ERIKSSON, BM .
SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES, 1992, 24 (03) :275-282
[5]  
HASLE H, 1994, AM J PEDIAT HEMATOL, V16, P329
[6]   PARVOVIRUS - THE EXPANDING SPECTRUM OF DISEASE [J].
HEEGAARD, ED ;
HORNSLETH, A .
ACTA PAEDIATRICA, 1995, 84 (02) :109-117
[7]   ESTIMATION OF SERUM CONCENTRATION OF PARVOVIRUS B19 DNA BY PCR IN PATIENTS WITH CHRONIC ANEMIA [J].
HORNSLETH, A ;
CARLSEN, KM ;
CHRISTENSEN, LS ;
GUNDESTRUP, M ;
HEEGAARD, ED ;
MYHRE, J .
RESEARCH IN VIROLOGY, 1994, 145 (06) :379-386
[8]   INTRAUTERINE PARVOVIRUS-B19 INFECTION MAY CAUSE AN ASYMPTOMATIC OR RECURRENT POSTNATAL INFECTION [J].
KOCH, WC ;
ADLER, SP ;
HARGER, J .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1993, 12 (09) :747-750
[9]   MANIFESTATIONS AND TREATMENT OF HUMAN PARVOVIRUS B19 INFECTION IN IMMUNOCOMPROMISED PATIENTS [J].
KOCH, WC ;
MASSEY, G ;
RUSSELL, CE ;
ADLER, SP .
JOURNAL OF PEDIATRICS, 1990, 116 (03) :355-359
[10]   A REGIONAL EXPERIENCE OF RED-CELL APLASIA [J].
KYNASTON, JA ;
WEST, NC ;
REID, MM .
EUROPEAN JOURNAL OF PEDIATRICS, 1993, 152 (04) :306-308