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WRIST BONE CHANGES IN 78 CASES WITH FANCONI ANEMIA
Author(s): ,
Saadet Akarsu
Affiliations:
University of Firat,Faculty of Medicine, Department of Pediacric Haematology,Elazig,Turkey
,
Hakan Artas
Affiliations:
University of Firat,Faculty of Medicine, Department of Radiology,Elazig,Turkey
,
Canan Albayrak
Affiliations:
Ondokuz Mayıs Üniversitesi ,Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Samsun,Turkey
,
Davut Albayrak
Affiliations:
Medical Park Hastanesi,Çocuk Hematoloji BD,Samsun,Turkey
,
Sinan Akbayram
Affiliations:
Gaziantep Üniversitesi ,Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Gaziantep,Turkey
,
Murat Soker
Affiliations:
Dicle Üniversitesi ,Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Diyarbakır,Turkey
,
Baris Yilmaz
Affiliations:
Marmara Üniversitesi ,Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Istanbul,Turkey
,
Serap Karaman
Affiliations:
İstanbul Üniversitesi ,Cerrahpaşa Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Istanbul,Turkey
,
Zeynep Karakas
Affiliations:
İstanbul Üniversitesi ,Cerrahpaşa Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Istanbul,Turkey
,
Tunc Fisgin
Affiliations:
Bahçeşehir Üniversitesi,Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Istanbul,Turkey
,
Yesim Oymak
Affiliations:
Behçet Uz Çocuk Hastanesi,Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Izmir,Turkey
,
Canan Vergin
Affiliations:
Behçet Uz Çocuk Hastanesi,Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Izmir,Turkey
,
Emine Zengin
Affiliations:
Kocaeli Üniversitesi ,Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Kocaeli,Turkey
,
Nazan Sarper
Affiliations:
Kocaeli Üniversitesi ,Kocaeli Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Kocaeli,Turkey
,
Emine Turkkan
Affiliations:
Okmeydanı Eğitim ve Araştırma Hastanesi,Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Istanbul,Turkey
,
Mehmet Akin
Affiliations:
Denizli Devlet Hastanesi,Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Denizli,Turkey
,
Ulker Kocak
Affiliations:
Gazi Üniversitesi ,Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Ankara,Turkey
,
Zuhre Kaya
Affiliations:
Gazi Üniversitesi ,Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Ankara,Turkey
Idil Yenicesu
Affiliations:
Gazi Üniversitesi ,Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Çocuk Hematoloji Onkoloji BD,Ankara,Turkey
(Abstract release date: 05/17/18) EHA Library. Akarsu S. 06/14/18; 216724; PB1992
Prof. Dr. Saadet Akarsu
Prof. Dr. Saadet Akarsu
Contributions
Abstract

Abstract: PB1992

Type: Publication Only

Background
Fanconi anemia (FA) is an autosomal recessive genetically transmitted hereditary disease which predisposes the patient to progressive bone marrow failure, growth retardation, leukemia, and solid tumors. In nearly 50% of the children with FA, skeletal anomalies are found. Approximately 70% of them are upper extremity anomalies. The most frequently encountered problems are observed along the  thumb-side, and radial edge of the forearm. Besides, much information is not available on wrist bones (proximal, central, and distal rows) and relevant anomalies in patients with FA. 

Aims
We wanted to present wrist bone anomalies which we evaluated in 78 cases together with literature information.

Methods
Seventy-five cases with the diagnosis of FA followed up by 12 Departments of Hematology-Oncology from 9 different cities were evaluated by a single radiologist based on criteria defined  in Greulich Pyle Hand Wrist Atlas Radiology, and changes of hand-wrist bones of all cases aged between 15 months, and 27 years were determined.

Results

Demographic characteristics, and hand-wrist bone anomalies of all cases were determined, and tabulated.

Wrist bones belong to a group of short bones. Congenital anomalies may be embryologically classified in the “underdevelopment group.” Embryogenesis of the upper extremity develops from lateral edge of the embryo at 4. week after fertilization. At 8. week of the fertilization, formation of all extremities  is completed.

 

Conclusion
In the radiologic, endocrinologic, and orthopedic evaluation, and interpretation  of wrist radiograms, the abovementioned signs, and symptoms of this disease should be also investigated. 

Session topic: 24. Hematopoiesis, stem cells and microenvironment

Keyword(s): Fanconi anemia

Abstract: PB1992

Type: Publication Only

Background
Fanconi anemia (FA) is an autosomal recessive genetically transmitted hereditary disease which predisposes the patient to progressive bone marrow failure, growth retardation, leukemia, and solid tumors. In nearly 50% of the children with FA, skeletal anomalies are found. Approximately 70% of them are upper extremity anomalies. The most frequently encountered problems are observed along the  thumb-side, and radial edge of the forearm. Besides, much information is not available on wrist bones (proximal, central, and distal rows) and relevant anomalies in patients with FA. 

Aims
We wanted to present wrist bone anomalies which we evaluated in 78 cases together with literature information.

Methods
Seventy-five cases with the diagnosis of FA followed up by 12 Departments of Hematology-Oncology from 9 different cities were evaluated by a single radiologist based on criteria defined  in Greulich Pyle Hand Wrist Atlas Radiology, and changes of hand-wrist bones of all cases aged between 15 months, and 27 years were determined.

Results

Demographic characteristics, and hand-wrist bone anomalies of all cases were determined, and tabulated.

Wrist bones belong to a group of short bones. Congenital anomalies may be embryologically classified in the “underdevelopment group.” Embryogenesis of the upper extremity develops from lateral edge of the embryo at 4. week after fertilization. At 8. week of the fertilization, formation of all extremities  is completed.

 

Conclusion
In the radiologic, endocrinologic, and orthopedic evaluation, and interpretation  of wrist radiograms, the abovementioned signs, and symptoms of this disease should be also investigated. 

Session topic: 24. Hematopoiesis, stem cells and microenvironment

Keyword(s): Fanconi anemia

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