1. How I manage children with Diamond-Blackfan anaemia
- Author
-
Marije Bartels and Marc Bierings
- Subjects
Male ,Glucocorticoids/therapeutic use ,Pediatrics ,Chronic condition ,Blood transfusion ,medicine.medical_treatment ,Diamond-Blackfan/metabolism ,Hematopoietic stem cell transplantation ,Diamond‐Blackfan anaemia ,Review ,0302 clinical medicine ,Cancer screening ,Child ,Anemia, Diamond-Blackfan ,Hematology ,Diamond-Blackfan anaemia ,Hematopoietic Stem Cell Transplantation ,hypoplastic anaemia ,Anemia ,Allografts ,030220 oncology & carcinogenesis ,Child, Preschool ,HSCT ,Female ,medicine.medical_specialty ,Adolescent ,Reviews ,03 medical and health sciences ,Internal medicine ,medicine ,Journal Article ,Humans ,Blood Transfusion ,Preschool ,Glucocorticoids ,marrow failure disorder ,Anemia, Diamond-Blackfan/metabolism ,business.industry ,Infant, Newborn ,Cancer ,Infant ,Newborn ,medicine.disease ,Transplantation ,cancer screening ,business ,030215 immunology - Abstract
Summary Diamond‐Blackfan anaemia (DBA) is a rare inherited marrow failure disorder, characterized by hypoplastic anaemia, congenital anomalies and a predisposition to cancer as a result of ribosomal dysfunction. Historically, treatment is based on glucocorticoids and/or blood transfusions, which is accompanied by significant toxicity and long‐term sequelae. Currently, stem cell transplantation is the only curative option for the haematological DBA phenotype. Whereas this procedure has been quite successful in the last decade in selected patients, novel therapies and biological insights are still warranted to improve clinical care for all DBA patients. In addition to paediatric haematologists, other physicians (e.g. endocrinologist, gynaecologist) should ideally be involved in the care of this chronic condition from an early age, to improve lifelong management of haematological and non‐haematological symptoms, and screen for DBA‐associated malignancies. Here we provide an overview of current knowledge and recommendations for the day‐to‐day care of DBA patients.
- Published
- 2019