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Natalia Anatolyevna Belykh; Polina Olegovna Kotova; Inna Vladimirovna Piznyur; Valeria Vadimovna Gavrilova;
Diamond – Blackfen anemia (DBA) is a rare genetic disease that affects the bone marrow’s ability to produce red blood cells, leading to severe anemia and various developmental abnormalities. The only treatment for DBA today is bone marrow transplantation. The article provides information on the epidemiology, clinical picture, diagnosis and treatment of DBA, as well as our own clinical observation. The presented clinical case is interesting for the initial resistance of a patient with DBA to glucocorticosteroid therapy, as well as the development of transfusion dependence, which required hematopoietic stem cell transplantation.
References:
1. Engidaye G., Melku M., Enawgaw B. Diamond Blackfan Anemia: Genetics, Pathogenesis, Diagnosis and Treatment. EJIFCC. 2019;30(1):67-81.
2. Da Costa L., Mohandas N., David-Nguyen L., Platon J., Marie I. [et al]. Diamond-Blackfan anemia, the archetype of ribosomopathy: How distinct is it from the other constitutional ribosomopathies? Blood Cell. Molec. Dis. 2024;6:102838. https://doi.org/10.1016/j.bcmd.2024.102838
3. Voit A., Liao X., Caulier A., Shimamura A., David A. [et al.]. Regulated GATA1 expression as a universal gene therapy for Diamond-Blackfan anemia. Cell. Stem Cell. 2025;32(1):38-52. https://doi.org/10.1016/j.stem.2024.10.012
4. Liu Y., Karlsson S. Perspectives of current understanding and therapeutics of Diamond-Blackfan anemia. Leukemia. 2024;38:1-9. https://doi.org/10.1038/s41375-023-02082-w
5. Da Costa L., Isabelle M., Thierry M. Diamond-Blackfan anemia. Hematol. Am. Soc. Hematol. Educ. Program. 2021;2021(1):353-360. https://doi.org/10.1182/hematology.2021000314
6. Utsugisawa Т., Uchiyama Т., Toki Т., Shimojima Yamamoto K., Ohga S. [et al.]. Enzymatic Changes in Red Blood Cells of Diamond-Blackfan Anemia. Tohoku J. Exper. Med. 2021;255(1):49-55. https://doi.org/10.1620/tjem.255.49
7. Bartels M., Bierings M. How I manage children with Diamond-Blackfan anaemia. Br. J. Haematol. 2019;184(2):123-133. https://doi.org/10.1111/bjh.15701
8. Yang W., Gong X., Cheng S., Yin Z., Gao Y. [et al.]. Short Stature in Patients with Diamond-Blackfan Anemia: A Cross-Sectional Study. J. Pediatr. 2022;240:177-185. https://doi.org/10.1159/000501554
9. Bhoopalan S. V., Suryaprakash S., Sharma A., Wlodarski M. W. Hematopoietic cell transplantation and gene therapy for Diamond-Blackfan anemia: state of the art and science. Front. Оncol. 2023;11(13):1236038. https://doi.org/10.3389/fonc.2023.1236038
10. Vitsebskaya A. V., Bulgakova E. S., Pisareva E. A., Tikhonovich Yu. V. Endocrine disorders in patients with transfusion-dependent hereditary anemia. Problemy Endokrinologii. – Problems of Endocrinology. 2022;68(6):121-130. (In Russ.). https://doi.org/10.14341/probl13149
11. Niño Taravilla C., Cervera Bravo Aurea, Otaola Arca H., Sevilla J., Aparicio López C. Deferasirox and Complex Proximal Tubulopathy. Presentation of two clinical cases. Andes Pediatr. 2021;92(4):584-589. https://doi.org/10.32641/andespediatr.v92i4.3154
Keywords: erythroid aplasia, anemia, ribosomopathy, clinical case, children