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Importance of Immediate Thiamine Therapy in Children with Suspected Thiamine-Responsive Megaloblastic Anemia—Report on Two Patients Carrying a Novel SLC19A2 Gene Mutation
| Content Provider | Scilit |
|---|---|
| Author | Uroic, Anita Spehar Milenkovic, Dragan Franco, Elisa De Bilic, Ernest Putarek, Natasa Rojnic Krnic, Nevena |
| Copyright Year | 2020 |
| Description | Thiamine-responsive megaloblastic anemia (TRMA) is an autosomal recessive disorder characterized by the development of megaloblastic anemia, diabetes mellitus, and sensorineural deafness. We report on the first two Croatian patients with TRMA, compound heterozygotes for nonsense, c.373C > T; p.(Gln125Ter) and novel missense variant, c.1214C > G; p.(Thr405Arg) in SLC19A2 gene. The first was diagnosed at 4 months with diabetes mellitus and severe anemia requiring transfusions. As TRMA was suspected, thiamine therapy was immediately started to prevent further transfusions and insulin therapy. His brother developed extreme anemia at 3 weeks of age while waiting for the results of the genetic test. Severe anemia in this sibling may have been prevented if thiamine had been initiated earlier. |
| Related Links | http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1717136.pdf |
| ISSN | 21464596 |
| DOI | 10.1055/s-0040-1717136 |
| Journal | Journal of Pediatric Genetics |
| Language | English |
| Publisher | Georg Thieme Verlag KG |
| Publisher Date | 2020-10-08 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of Pediatric Genetics Pediatrics and Child Health Thiamine-responsive Megaloblastic Anemia Neonatal Diabetes Mellitus Slc19a2 Gene |
| Content Type | Text |
| Resource Type | Article |
| Subject | Genetics (clinical) Pediatrics, Perinatology and Child Health |