Volume 60, Issue 9 pp. E94-E96
Brief Report

Congenital amegakaryocytic thrombocytopenia (CAMT) presenting as severe pancytopenia in the first month of life

Michael T. Stoddart BSc

Michael T. Stoddart BSc

Imperial College School of Medicine, London, UK

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Philip Connor MBBS

Philip Connor MBBS

Department of Paediatric Haematology/Oncology, Children's Hospital for Wales, Cardiff, UK

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Manuela Germeshausen PhD

Manuela Germeshausen PhD

Department of Paediatric Haematology and Oncology, Hannover Medical School, Hannover, Germany

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Matthias Ballmaier PhD

Matthias Ballmaier PhD

Department of Paediatric Haematology and Oncology, Hannover Medical School, Hannover, Germany

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Colin G. Steward BM, BCh

Corresponding Author

Colin G. Steward BM, BCh

BMT Unit, Royal Hospital for Children, Bristol, UK

Correspondence to: Colin G. Steward, BMT Unit, Royal Hospital for Children, Upper Maudlin Street, BS2 8BJ Bristol, UK.

E-mail: [email protected]

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First published: 26 April 2013
Citations: 14
Conflict of interest: Nothing to declare.

Abstract

Congenital amegakaryocytic thrombocytopenia (CAMT) is characterised by neonatal thrombocytopenia, with reduced or absent bone marrow megakaryocytes, leading eventually to pancytopenia. The mean age for progression to bone marrow failure is four years, with the earliest reported being six months. We describe a CAMT patient with compound heterozygous mutations of the causative MPL gene (one being a previously unreported splice site mutation in intron 11) who developed pancytopenia within the first month of life. This report emphasises the importance of considering CAMT in the differential diagnosis of congenital aplastic anaemia or idiopathic aplastic anaemia in babies. Pediatr Blood Cancer 2013;60:E94–E96. © 2013 Wiley Periodicals, Inc.

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