A Unique Constitutional Robertsonian Translocation t(13;14) Associated with Severe Aplastic Anaemia

Aplastic anaemia is characterised by cytopenias and hypocellular bone marrow without any evidence of marrow fibrosis or marrow infiltration. There is no specific cytogenetic abnormality associated with aplastic anaemia. Most common abnormalities are trisomies of chromosome 6, 8 and loss of 7. A 17...

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Main Authors: Bhupendra Singh, Aparajita Singh Chauhan, Shailendra Prasad Verma, Anil Kumar Tripathi, Swasti Sinha
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2021-09-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/15389/50176_CE[Ra1]_F[SK]_PF1(SG_KM)_PFA(SG_KM)_PN(KM).pdf
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author Bhupendra Singh
Aparajita Singh Chauhan
Shailendra Prasad Verma
Anil Kumar Tripathi
Swasti Sinha
author_facet Bhupendra Singh
Aparajita Singh Chauhan
Shailendra Prasad Verma
Anil Kumar Tripathi
Swasti Sinha
author_sort Bhupendra Singh
collection DOAJ
description Aplastic anaemia is characterised by cytopenias and hypocellular bone marrow without any evidence of marrow fibrosis or marrow infiltration. There is no specific cytogenetic abnormality associated with aplastic anaemia. Most common abnormalities are trisomies of chromosome 6, 8 and loss of 7. A 17-year-old female, presented with generalised weakness, exertional breathlessness and menorrhagia for last six months. She also gave a history of 12 units Packed Red Blood Cells (PRBC) transfusion, at the rate of 2-3 units per month in the last five months. Routine haematology showed severe pancytopenia with reticulocytopenia. Bone marrow evaluation revealed hypoplastic marrow with 15% bone marrow cellularity suggesting aplastic anaemia. Karyotyping using Giemsa (GTG) banding of unstimulated culture showed a very unique constitutional Robertsonian Translocation (RT) karyotype 45+XX, der(13;14)(q10;q10). Patient responded partially to treatment with cyclosporine and anabolic steroids. The final diagnosis was severe aplastic anaemia associated with constitutional RT t(13;14) karyotype. Although cytogenetic abnormalities are neither common nor specific in aplastic anaemia, some of them can have diagnostic and therapeutic implications
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spelling doaj.art-1ccc5d6c0bf64b628b55dcaab474364f2022-12-21T20:00:23ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-09-01159GD01GD0310.7860/JCDR/2021/50176.15389A Unique Constitutional Robertsonian Translocation t(13;14) Associated with Severe Aplastic AnaemiaBhupendra SinghAparajita Singh ChauhanShailendra Prasad VermaAnil Kumar TripathiSwasti SinhaAplastic anaemia is characterised by cytopenias and hypocellular bone marrow without any evidence of marrow fibrosis or marrow infiltration. There is no specific cytogenetic abnormality associated with aplastic anaemia. Most common abnormalities are trisomies of chromosome 6, 8 and loss of 7. A 17-year-old female, presented with generalised weakness, exertional breathlessness and menorrhagia for last six months. She also gave a history of 12 units Packed Red Blood Cells (PRBC) transfusion, at the rate of 2-3 units per month in the last five months. Routine haematology showed severe pancytopenia with reticulocytopenia. Bone marrow evaluation revealed hypoplastic marrow with 15% bone marrow cellularity suggesting aplastic anaemia. Karyotyping using Giemsa (GTG) banding of unstimulated culture showed a very unique constitutional Robertsonian Translocation (RT) karyotype 45+XX, der(13;14)(q10;q10). Patient responded partially to treatment with cyclosporine and anabolic steroids. The final diagnosis was severe aplastic anaemia associated with constitutional RT t(13;14) karyotype. Although cytogenetic abnormalities are neither common nor specific in aplastic anaemia, some of them can have diagnostic and therapeutic implicationshttps://www.jcdr.net/articles/PDF/15389/50176_CE[Ra1]_F[SK]_PF1(SG_KM)_PFA(SG_KM)_PN(KM).pdfbone marrow failurecyclosporinecytogenetic abnormalitieskaryotyping
spellingShingle Bhupendra Singh
Aparajita Singh Chauhan
Shailendra Prasad Verma
Anil Kumar Tripathi
Swasti Sinha
A Unique Constitutional Robertsonian Translocation t(13;14) Associated with Severe Aplastic Anaemia
Journal of Clinical and Diagnostic Research
bone marrow failure
cyclosporine
cytogenetic abnormalities
karyotyping
title A Unique Constitutional Robertsonian Translocation t(13;14) Associated with Severe Aplastic Anaemia
title_full A Unique Constitutional Robertsonian Translocation t(13;14) Associated with Severe Aplastic Anaemia
title_fullStr A Unique Constitutional Robertsonian Translocation t(13;14) Associated with Severe Aplastic Anaemia
title_full_unstemmed A Unique Constitutional Robertsonian Translocation t(13;14) Associated with Severe Aplastic Anaemia
title_short A Unique Constitutional Robertsonian Translocation t(13;14) Associated with Severe Aplastic Anaemia
title_sort unique constitutional robertsonian translocation t 13 14 associated with severe aplastic anaemia
topic bone marrow failure
cyclosporine
cytogenetic abnormalities
karyotyping
url https://www.jcdr.net/articles/PDF/15389/50176_CE[Ra1]_F[SK]_PF1(SG_KM)_PFA(SG_KM)_PN(KM).pdf
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