Frequency of paroxysmal nocturnal hemoglobinuria in patients attended in Belém, Pará, Brazil

BACKGROUND: Paroxysmal nocturnal hemoglobinuria is a hematological disease with complex physiopathology. It is genetically characterized by a somatic mutation in the PIG-A gene (phosphatidylinositol glycan anchor biosynthesis, class A), in which the best known antigens are DAF (decay accelerating fa...

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Main Authors: Lacy Cardoso de Brito Junior, Maria do Socorro de Oliveira Cardoso, Euzamar Gaby Rocha, Herika Anijar, Mariana Cunha, João Carlos Pina Saraiva
Format: Article
Language:English
Published: Elsevier 2011-02-01
Series:Revista Brasileira de Hematologia e Hemoterapia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842011000100012
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author Lacy Cardoso de Brito Junior
Maria do Socorro de Oliveira Cardoso
Euzamar Gaby Rocha
Herika Anijar
Mariana Cunha
João Carlos Pina Saraiva
author_facet Lacy Cardoso de Brito Junior
Maria do Socorro de Oliveira Cardoso
Euzamar Gaby Rocha
Herika Anijar
Mariana Cunha
João Carlos Pina Saraiva
author_sort Lacy Cardoso de Brito Junior
collection DOAJ
description BACKGROUND: Paroxysmal nocturnal hemoglobinuria is a hematological disease with complex physiopathology. It is genetically characterized by a somatic mutation in the PIG-A gene (phosphatidylinositol glycan anchor biosynthesis, class A), in which the best known antigens are DAF (decay accelerating factor or CD55) and MIRL (membrane inhibitor of reactive lysis or CD59). OBJECTIVE: To determine the frequency of paroxysmal nocturnal hemoglobinuria in patients attended at the HEMOPA foundation from November 2008 to July 2009. METHOD: Thirty patients, with ages ranging from two to 79 years old and suspected of having paroxysmal nocturnal hemoglobinuria were examined. All patients were immunophenotyped by flow cytometry for the CD5, CD59, CD16 and CD45 antigens. RESULTS: Paroxysmal nocturnal hemoglobinuria was identified in nine of the thirty patients investigated. Another 3 cases had inconclusive results with CD59-negative labeling only for neutrophils. The highest frequency of paroxysmal nocturnal hemoglobinuria patients (7/9) and inconclusive cases (2/3) were between 19 years old and 48 years old, with a median of 28 years. CONCLUSION: These results show the importance of flow cytometry to identify cases in which patients are deficient in only one antigen (CD59).
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spelling doaj.art-b45a230525d84135ba55200713d156672022-12-22T02:51:37ZengElsevierRevista Brasileira de Hematologia e Hemoterapia1516-84841806-08702011-02-01331353710.5581/1516-8484.20110012Frequency of paroxysmal nocturnal hemoglobinuria in patients attended in Belém, Pará, BrazilLacy Cardoso de Brito JuniorMaria do Socorro de Oliveira CardosoEuzamar Gaby RochaHerika AnijarMariana CunhaJoão Carlos Pina SaraivaBACKGROUND: Paroxysmal nocturnal hemoglobinuria is a hematological disease with complex physiopathology. It is genetically characterized by a somatic mutation in the PIG-A gene (phosphatidylinositol glycan anchor biosynthesis, class A), in which the best known antigens are DAF (decay accelerating factor or CD55) and MIRL (membrane inhibitor of reactive lysis or CD59). OBJECTIVE: To determine the frequency of paroxysmal nocturnal hemoglobinuria in patients attended at the HEMOPA foundation from November 2008 to July 2009. METHOD: Thirty patients, with ages ranging from two to 79 years old and suspected of having paroxysmal nocturnal hemoglobinuria were examined. All patients were immunophenotyped by flow cytometry for the CD5, CD59, CD16 and CD45 antigens. RESULTS: Paroxysmal nocturnal hemoglobinuria was identified in nine of the thirty patients investigated. Another 3 cases had inconclusive results with CD59-negative labeling only for neutrophils. The highest frequency of paroxysmal nocturnal hemoglobinuria patients (7/9) and inconclusive cases (2/3) were between 19 years old and 48 years old, with a median of 28 years. CONCLUSION: These results show the importance of flow cytometry to identify cases in which patients are deficient in only one antigen (CD59).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842011000100012ImmunophenotypingFlow cytometryParoxysmal nocturnal hemoglobinuriaDiagnosisAntigen, CD55Antigen, CD59
spellingShingle Lacy Cardoso de Brito Junior
Maria do Socorro de Oliveira Cardoso
Euzamar Gaby Rocha
Herika Anijar
Mariana Cunha
João Carlos Pina Saraiva
Frequency of paroxysmal nocturnal hemoglobinuria in patients attended in Belém, Pará, Brazil
Revista Brasileira de Hematologia e Hemoterapia
Immunophenotyping
Flow cytometry
Paroxysmal nocturnal hemoglobinuria
Diagnosis
Antigen, CD55
Antigen, CD59
title Frequency of paroxysmal nocturnal hemoglobinuria in patients attended in Belém, Pará, Brazil
title_full Frequency of paroxysmal nocturnal hemoglobinuria in patients attended in Belém, Pará, Brazil
title_fullStr Frequency of paroxysmal nocturnal hemoglobinuria in patients attended in Belém, Pará, Brazil
title_full_unstemmed Frequency of paroxysmal nocturnal hemoglobinuria in patients attended in Belém, Pará, Brazil
title_short Frequency of paroxysmal nocturnal hemoglobinuria in patients attended in Belém, Pará, Brazil
title_sort frequency of paroxysmal nocturnal hemoglobinuria in patients attended in belem para brazil
topic Immunophenotyping
Flow cytometry
Paroxysmal nocturnal hemoglobinuria
Diagnosis
Antigen, CD55
Antigen, CD59
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842011000100012
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