Abstract
A child with Kostmann syndrome, or severe congenital neutropenia, developed myelodysplastic syndrome after 6 years of treatment with rhG-CSF. The bone marrow karyotype showed acquired trisomy 21, and in some cells pentasomy 21 due to two isodicentric chromosomes 21. This is the second report of a patient with Kostmann syndrome and acquired trisomy 21.
MeSH terms
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Chromosomes, Human, Pair 21*
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Granulocyte Colony-Stimulating Factor / adverse effects
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Granulocyte Colony-Stimulating Factor / therapeutic use*
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Humans
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Infant
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Karyotyping
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Male
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Myelodysplastic Syndromes / chemically induced*
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Neutropenia / congenital*
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Neutropenia / drug therapy
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Neutropenia / genetics*
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Recombinant Proteins
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Trisomy*
Substances
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Recombinant Proteins
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Granulocyte Colony-Stimulating Factor