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什么是先天性木核细胞血小板减少症?

先天性amegakaryopytocytocytopenia(CAMT)是一种罕见的,遗传性的疾病,其特征是大量的巨核细胞,这是一种骨髓细胞,使血小板使血小板对凝结和防止流血很重要。最初,骨髓不再制成血小板。随着时间的流逝,骨髓可能也可能停止制造红色和白色血细胞。

CAMT is usually diagnosed anywhere from birth to nine months but often in a child’s first month of life. There are two forms of the disease:

  • Group I CAMT—severe, persistent thrombocytopenia (low platelet count) and early onset of pancytopenia (low red and white blood cell count)
  • Group II CAMT—temporary increase in platelets early in life, with possible later development of pancytopenia

What are the symptoms of CAMT?

The most common symptoms of CAMT are:

  • bruising
  • bleeding, which can be life-threatening
  • petechiae — tiny red dots under the skin that are a result of very small bleeds into the skin

Children with CAMT can also have central nervous system abnormalities, retardation of psychomotor development, cardiac defects, and other rare malformations.

How we care for CAMT

Children with CAMT receive treatment at Dana-Farber/Boston Children’s Cancer and Blood Disorders Center through our Bone Marrow Failure Program. Continue reading to learn more about congenital amegakaryocytic thrombocytopenia or visit theBone Marrow Failure and Myelodysplastic Syndrome Programpage to learn about our expertise and治疗选择.

Congenital Amegakaryocytic Thrombocytopenia |诊断和治疗

How is congenital amegakaryocytic thrombocytopenia diagnosed?

Initially, CAMT can be misdiagnosed asimmune thrombocytopenia (ITP), an autoimmune disorder that occurs when the body destroys platelets too quickly. CAMT is diagnosed with:

  • Blood tests to determine low platelet count
  • Bone marrow evaluation to examine megakaryocytes and other blood-forming cells
  • Genetic testingto confirm the diagnosis

After all tests are completed, doctors will be able to outline the best treatment options.

What are the treatment options for CAMT?

治疗for congenital amegakaryocytic thrombocytopenia (CAMT) include:

CAMT儿童的长期前景是什么?

With supportive therapy alone, the progression to bone marrow failure usually occurs in a child’s first decade of life. A stem cell transplant is the only curative therapy and is successful for over 50 percent of patients. Patients with CAMT may be at increased risk of developingacute myelogenous leukemia或者myelodysplastic syndrome.

Congenital Amegakaryocytic Thrombocytopenia |Programs & Services

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